Organization
AYADAWAY HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELTON MITCHELL HALLS R.R.T. (REGISTERED RESPIRATORY THERAPIST)
(904) 329-1990
Entity
Organization
Contact information
Practice address
12225 HERON COVE CT, JACKSONVILLE, FL 32218-8095
(904) 329-1990
(904) 329-1990
Mailing address
12225 HERON COVE CT, JACKSONVILLE, FL 32218-8095
(904) 329-1990
(904) 329-1990
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
L10000091096
FL
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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