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Organization
CARE1ST LLC
Active
Organization
CARE1ST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAUNGELO BAKER SR. (OWNER/ADMINISTRATOR)
(904) 662-2493
Entity
Organization
Contact information
Practice address
10417 GAILWOOD CIR E, JACKSONVILLE, FL 32218-5208
(904) 662-2493
Mailing address
10417 GAILWOOD CIR E, JACKSONVILLE, FL 32218-5208
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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