Organization
A 1 COMPLETE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTINESE STINSON (OWNER)
(904) 651-9032
Entity
Organization
Contact information
Practice address
4541 SHIRLEY AVE STE 4, JACKSONVILLE, FL 32210-2069
(904) 480-0663
Mailing address
4541 SHIRLEY AVE STE 4, JACKSONVILLE, FL 32210-2069
(904) 480-0663
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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