Organization
GENUINELY BLESSED HANDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTRELL COBB (OWNER)
(904) 571-7843
Entity
Organization
Contact information
Practice address
623 LONG BRANCH BLVD, JACKSONVILLE, FL 32206-6252
(904) 571-7843
Mailing address
623 LONG BRANCH BLVD, JACKSONVILLE, FL 32206-6252
(904) 571-7843
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HOMECARE
—
FL
Enumeration date
12/14/2021
Last updated
12/14/2021
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