Organization
AJL NURSING SERVICES, LLC
Active
Other names
Concierge Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT G YOUNG (SECRETARY & CAO)
(904) 333-9820
Entity
Organization
Contact information
Practice address
2090 W EAU GALLIE BLVD STE B, MELBOURNE, FL 32935-3186
(321) 306-2551
(321) 241-3003
Mailing address
4655 SALISBURY RD, STE 110, JACKSONVILLE, FL 32256-0957
(904) 733-1003
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D2163610
CLIA WAIVER
FL
01
—
299994870
AHCA STATE LICENSE
FL
Enumeration date
03/19/2019
Last updated
12/27/2023
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