Organization
AGING GRACE ENTERPRISES LLC
Active
Other names
Caring Senior Service of South Duval County
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ANGELES (ADMINISTRATOR)
(813) 313-6460
Entity
Organization
Contact information
Practice address
9850 SAN JOSE BLVD STE 3, JACKSONVILLE, FL 32257-5495
(813) 313-6460
Mailing address
858 NW SAVANNAH CIR, LAKE CITY, FL 32055-6878
(813) 313-6460
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
09/16/2022
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