Organization
WELLNESS WINGS HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEIA KASHAY HOUSTON (OWNER)
(904) 521-4627
Entity
Organization
Contact information
Practice address
1967 HARDEE ST, JACKSONVILLE, FL 32209-7157
(904) 521-4627
Mailing address
11111 SAN JOSE BLVD STE 56, JACKSONVILLE, FL 32223-7274
(904) 521-4627
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
12/11/2023
Last updated
06/21/2025
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