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Organization
PUDDLE OF HEARTS HOMECARE LLC
Active
Organization
PUDDLE OF HEARTS HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYTONYA FREEMAN (CEO)
(904) 835-0722
Entity
Organization
Contact information
Practice address
7316 WILDER AVE, JACKSONVILLE, FL 32208-4270
(904) 612-9079
Mailing address
7316 WILDER AVE, JACKSONVILLE, FL 32208-4270
(904) 835-0722
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Enumeration date
06/22/2021
Last updated
03/23/2026
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