Organization
BY YOUR SIDE HOME CARE SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALESHA PATTON PRIDGEN (ADMINISTRATOR)
(850) 372-4883
Entity
Organization
Contact information
Practice address
4425 LAFAYETTE ST STE 3, MARIANNA, FL 32446-3312
(850) 372-4883
Mailing address
4425 LAFAYETTE ST STE 3, MARIANNA, FL 32446-3312
(850) 372-4883
(850) 331-1583
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104625200
—
FL
Enumeration date
03/08/2018
Last updated
06/24/2025
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