# BY YOUR SIDE SENIOR CARE

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

## Provider details

- **NPI number:** 1295430858
- **Authorized official:** MARY ELIZABETH BLEDSOE (CEO OWNER)
- **Authorized official phone:** (904) 579-3059

## Contact information

- **Practice address:** 1515 BUSINESS CENTER DR STE 3, FLEMING ISLAND, FL 32003-4401
- **Practice address phone:** (904) 579-3059
- **Practice address fax:** (904) 644-7972
- **Mailing address:** 1515 BUSINESS CENTER DR STE 3, FLEMING ISLAND, FL 32003-4401
- **Mailing address phone:** (904) 579-3059
- **Mailing address fax:** (904) 644-7972

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/03/2023
- **Last updated:** 09/19/2024