Organization
TRIUNE HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL RAMOS RODRIGUEZ (PRESIDENT)
(904) 335-8313
Entity
Organization
Contact information
Practice address
2151 LANE AVE S STE 102, JACKSONVILLE, FL 32210-2783
(904) 290-2939
Mailing address
4275 HANGING MOSS DR, ORANGE PARK, FL 32073-7643
(043) 358-3139
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
09/16/2023
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