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Individual

MS. ELAINE C MURPHY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
129 BEAU RIVAGE DRIVE, ORMOND BEACH, FL 32176
(386) 441-7899
(386) 441-7899
Mailing address
129 BEAU RIVAGE DRIVE, ORMOND BEACH, FL 32176
(386) 441-7899
(386) 441-7899

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
372600000X
Adult Companion
372600000X
FL
3747P1801X
Personal Care Attendant
376J00000X
Homemaker
385H00000X
Respite Care
385HR2050X
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
681124896
MEDWAIVER PROVIDER NUMBER
FL
01
681124898
MEDWAIVER PROVIDER
FL
05
681124898
FL
Enumeration date
07/16/2008
Last updated
09/14/2008
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