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Organization
HEART OF CARRIE LLC
Active
Organization
HEART OF CARRIE LLC
Active
Other names
Heart of Carrie LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA DIONNE JACKSON (ADMINISTRATOR)
(386) 264-1398
Entity
Organization
Contact information
Practice address
17 OLD KINGS RD N STE E, PALM COAST, FL 32137-8283
(386) 585-4406
Mailing address
17 OLD KINGS RD N STE E, PALM COAST, FL 32137-8283
(386) 585-4406
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
10/11/2022
Last updated
02/22/2024
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