Organization
HOUSE OF WELLNESS FAMILY HOME CARE, LLC
Active
Other names
House Of Wellness Family Home Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KETTLY JEAN LOUIS ADMINISTRATOR (OWNER)
(904) 328-4485
Entity
Organization
Contact information
Practice address
791 GLENDALE LN, ORANGE PARK, FL 32065-5628
(904) 328-4485
Mailing address
791 GLENDALE LN, ORANGE PARK, FL 32065-5628
(904) 328-4485
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
08/17/2024
Last updated
08/17/2024
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