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Organization

BIG HEARTS IN MOTION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VERNELL GRIGGS (CEO)
(904) 894-1436
Entity
Organization

Contact information

Practice address
550 BALMORAL CIR N STE 301, JACKSONVILLE, FL 32218-5574
(904) 894-1436
Mailing address
550 BALMORAL CIR N STE 301, JACKSONVILLE, FL 32218-5574
(904) 894-1436

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251J00000X
Nursing Care Agency
253Z00000X
In Home Supportive Care Agency
3104A0625X
Assisted Living Facility (Mental Illness)
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
385H00000X
Respite Care
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
385HR2065X
Child Physical Disabilities Respite Care

Other

Enumeration date
12/01/2020
Last updated
12/01/2020
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