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Organization
ALL EXECUTIVE HEALTHCARE AGENCY LLC
Active
Organization
ALL EXECUTIVE HEALTHCARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LATARA DEMPS (OWNER/PRESIDENT)
(904) 528-6020
Entity
Organization
Contact information
Practice address
841 PRUDENTIAL DR STE 1211, JACKSONVILLE, FL 32207-8329
(904) 528-6020
Mailing address
7316 BARBERIE ST, JACKSONVILLE, FL 32208-4105
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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