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Organization
XL CARE AGENCY, INC. OF COLLIER
Active
Organization
XL CARE AGENCY, INC. OF COLLIER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI JACKSON (DIRECTOR OF CLINICAL SERVICES)
(941) 257-4285
Entity
Organization
Contact information
Practice address
389 COMMERCIAL CT STE A, VENICE, FL 34292-1617
(941) 787-7606
Mailing address
885 PENNIMAN AVE UNIT 6426, PLYMOUTH, MI 48170-7722
(888) 891-0786
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
21888096
FL
251E00000X
Home Health Agency
299991373
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC3
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/31/2006
Last updated
12/12/2022
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