Organization
LILLYS CARE HELPING HAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JATARRA SMITH (BUSINESS OWNER)
(904) 268-4645
Entity
Organization
Contact information
Practice address
100 DALTON CT, SATSUMA, FL 32189-2400
(904) 258-4645
Mailing address
100 DALTON CT, SATSUMA, FL 32189-2400
(904) 258-4645
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28945
HOMEMAKER AND COMPANIONSHIP
FL
Enumeration date
05/25/2021
Last updated
05/25/2021
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