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Organization
WATERS HOMECARE
Active
Organization
WATERS HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE WATETS (CNA)
(904) 480-4456
Entity
Organization
Contact information
Practice address
45124 EWING PARK RD APT 101, CALLAHAN, FL 32011-3838
(904) 480-4456
Mailing address
45124 EWING PARK RD APT 101, CALLAHAN, FL 32011-3838
(904) 480-4456
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
320916
FL
Other
Enumeration date
07/23/2015
Last updated
08/06/2015
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