Organization
HALOS OVER HEARTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARENDA DANIELLE JOHNSON (OWNER)
(904) 651-4083
Entity
Organization
Contact information
Practice address
9064 CASTLE BLVD, JACKSONVILLE, FL 32208-1602
(904) 651-4083
Mailing address
PO BOX 7164, JACKSONVILLE, FL 32238-0164
(904) 651-4083
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
233614
FL
Other
Enumeration date
08/24/2014
Last updated
08/24/2014
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