Organization
123 BUTTERFLY EFFECTS L.L.C
Active
Other names
Jacqueline Holmes
Organization subpart
Yes
Provider details
NPI number
Authorized official
JACQUELINE HOLMES (OWNER)
(770) 776-9567
Entity
Organization
Contact information
Practice address
6619 ALBICORE RD, JACKSONVILLE, FL 32244-1821
(770) 776-9567
Mailing address
6619 ALBICORE RD, JACKSONVILLE, FL 32244-1821
(770) 776-9567
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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