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Organization
JUDAH IN HOME SUPPORT CARE INC
Active
Organization
JUDAH IN HOME SUPPORT CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARMAINE GAYNOR MUIR (MANAGER OWNER)
(772) 203-4762
Entity
Organization
Contact information
Practice address
4812 S FEDERAL HWY # 1, FORT PIERCE, FL 34982-7078
(772) 742-8145
(772) 742-8145
Mailing address
4812 S US HIGHWAY 1, FORT PIERCE, FL 34982-7078
(772) 203-4762
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
017020700
FL
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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