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Organization
PEACOCK COMPANION & CAREGIVING SERIVCE
Active
Organization
PEACOCK COMPANION & CAREGIVING SERIVCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LA'RONIQUIA BRE'NAE FLEMING (OWNER)
(904) 254-0469
Entity
Organization
Contact information
Practice address
2918 WILLOW ST, JACKSONVILLE, FL 32207-4458
(904) 882-5777
Mailing address
2918 WILLOW ST, JACKSONVILLE, FL 32207-4458
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/24/2024
Last updated
07/20/2024
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