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Organization
GRACE & MERCY HOMECARE LLC
Active
Organization
GRACE & MERCY HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNTA JOSEPH (ADMINISTRATOR)
(386) 320-3449
Entity
Organization
Contact information
Practice address
6501 ARLINGTON EXPY STE B105, JACKSONVILLE, FL 32211-0810
(386) 320-3449
(386) 917-1962
Mailing address
PO BOX 391622, DELTONA, FL 32739-1622
(386) 320-3449
(386) 917-1962
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
347C00000X
Private Vehicle
—
NULL
347E00000X
Transportation Broker
—
NULL
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
385H00000X
Respite Care
—
NULL
Other
Enumeration date
09/23/2021
Last updated
10/20/2021
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