# CREDIBLE HOMECARE SERVICES, INC.

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

## Provider details

- **NPI number:** 1376297242
- **Authorized official:** ANTONINE ALEXIS (ADMINISTRATOR)
- **Authorized official phone:** (904) 523-4791

## Contact information

- **Practice address:** 12627 SAN JOSE BLVD STE 504E, JACKSONVILLE, FL 32223-8641
- **Practice address phone:** (904) 523-4791
- **Practice address fax:** (904) 297-2670
- **Mailing address:** 12627 SAN JOSE BLVD STE 504E, JACKSONVILLE, FL 32223-8641
- **Mailing address phone:** (904) 523-4791
- **Mailing address fax:** (904) 297-2670

## Taxonomy

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

## Other

- **Enumeration date:** 02/09/2022
- **Last updated:** 02/09/2022