# PRINCENIA A HICKS HOMEMAKER COMPANION SERVICE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1457661910
- **Authorized official:** MRS. PRINCENIA HICKS MASON (OWNER)
- **Authorized official phone:** (904) 638-9710

## Contact information

- **Practice address:** 6028 CHESTER AVE, SUITE \# 203, JACKSONVILLE, FL 32217-1205
- **Practice address phone:** (904) 638-9710
- **Practice address fax:** (904) 212-0197
- **Mailing address:** 6028 CHESTER AVE, SUITE \# 203, JACKSONVILLE, FL 32217-1205
- **Mailing address phone:** (904) 638-9710
- **Mailing address fax:** (904) 212-0197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/18/2010
- **Last updated:** 10/18/2010