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Organization
OMNI HOME HEALTH - JACKSONVILLE, LLC
Active
Organization
OMNI HOME HEALTH - JACKSONVILLE, LLC
Active
Other names
Apex Home Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L. PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
2765 REBECCA LN STE A&B, ORANGE CITY, FL 32763-8326
(386) 775-0164
(386) 775-0760
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299991616
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004729500
—
FL
Enumeration date
09/08/2005
Last updated
06/13/2023
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