Organization
RACHELLE HOMEHEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHELLE WILLIAMS (REGISTER NURSE)
(904) 415-0913
Entity
Organization
Contact information
Practice address
8539 GATE PKWY W UNIT 9134, JACKSONVILLE, FL 32216-1037
(904) 415-0913
Mailing address
8539 GATE PKWY W UNIT 9134, JACKSONVILLE, FL 32216-1037
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102108200
—
FL
Enumeration date
10/26/2020
Last updated
10/26/2020
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