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Organization

ATLANTIC CARE SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASON T COONS (OWNER)
(407) 484-2972
Entity
Organization

Contact information

Practice address
163 E MORSE BLVD STE 105, WINTER PARK, FL 32789-7415
(407) 484-2972
(407) 559-8971
Mailing address
163 E MORSE BLVD STE 210, WINTER PARK, FL 32789-7415
(407) 484-2972

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
251E00000X
Home Health Agency
251J00000X
Nursing Care Agency
364SH0200X
Home Health Clinical Nurse Specialist
3747A0650X
Attendant Care Provider
Primary
374U00000X
Home Health Aide

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100666300
FL
Enumeration date
01/31/2018
Last updated
09/27/2023
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