Organization
JAX INTEGRITY PARTNERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD HARDY JR. (ADMINISTRATOR)
(904) 302-7560
Entity
Organization
Contact information
Practice address
144 ARLINGTON RD S, SUITE #1, JACKSONVILLE, FL 32216-7203
(904) 302-7560
(904) 352-2357
Mailing address
144 ARLINGTON RD S, SUITE #1, JACKSONVILLE, FL 32216-7203
(904) 302-7560
(904) 352-2357
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299994100
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232729
AHCA HOMEMAKER & COMPANION SERVICES LICENSE
FL
01
—
299994100
AHCA HOME HEALTH AGENCY LICENSE
FL
Enumeration date
04/07/2014
Last updated
04/07/2014
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