Organization
BENI GARDEN HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSEMONDE B TOUSSAINT RN/BSN (CEO)
(904) 405-0695
Entity
Organization
Contact information
Practice address
817 SONGBIRD DR, ORANGE PARK, FL 32065-2587
(904) 405-0695
Mailing address
817 SONGBIRD DR, ORANGE PARK, FL 32065-2587
(904) 405-0695
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548729809
—
FL
Enumeration date
03/19/2019
Last updated
03/19/2019
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