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Organization
SENIOR CARE SOURCE, INC.
Active
Organization
SENIOR CARE SOURCE, INC.
Active
Other names
Care Source Staffing
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE JACKSON RN (ADMINISTRATOR)
(386) 334-1476
Entity
Organization
Contact information
Practice address
213 BIRKDALE DR, DAYTONA BEACH, FL 32124-2053
(386) 334-1476
Mailing address
213 BIRKDALE DR, DAYTONA BEACH, FL 32124-2053
(386) 334-1476
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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