# RIVER CITY PROFESSIONAL SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** River City Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871940791
- **Authorized official:** CHARLOTTE C MIKAN (CEO)
- **Authorized official phone:** (904) 501-5988

## Contact information

- **Practice address:** 6100 GREENLAND RD STE 602, JACKSONVILLE, FL 32258-7436
- **Practice address phone:** (904) 418-7900
- **Practice address fax:** (904) 418-7901
- **Mailing address:** 6100 GREENLAND RD STE 602, JACKSONVILLE, FL 32258-7436
- **Mailing address phone:** (904) 418-7900
- **Mailing address fax:** (904) 418-7901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | 30211677 | FL | Yes |

## Other

- **Enumeration date:** 05/20/2016
- **Last updated:** 02/17/2022