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Organization

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ABOVE THE REST

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Organization subpart
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Provider details

NPI number
Authorized official
JACKIE M THERRIEN (OWNER)
(352) 622-7038
Entity
Organization

Contact information

Practice address
9030 NE JACKSONVILLE RD, ANTHONY, FL 32617-3502
(352) 622-7038
(352) 236-7039
Mailing address
9030 NE JACKSONVILLE RD, ANTHONY, FL 32617-3502
(352) 622-7038
(352) 236-7039

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
230440
FL

Other

Enumeration date
01/28/2014
Last updated
01/28/2014
About Stedi
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