# HALOS OVER HEARTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245630516
- **Authorized official:** CLARENDA DANIELLE JOHNSON (OWNER)
- **Authorized official phone:** (904) 651-4083

## Contact information

- **Practice address:** 9064 CASTLE BLVD, JACKSONVILLE, FL 32208-1602
- **Practice address phone:** (904) 651-4083
- **Mailing address:** PO BOX 7164, JACKSONVILLE, FL 32238-0164
- **Mailing address phone:** (904) 651-4083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 233614 | FL | Yes |

## Other

- **Enumeration date:** 08/24/2014
- **Last updated:** 08/24/2014