Organization
A WHITE CONTRACTOR ENTERPRISES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY WHITE (PRESIDENT)
(904) 554-8358
Entity
Organization
Contact information
Practice address
6649 RIPPLING WAVE CT, JACKSONVILLE, FL 32244-6876
(904) 554-8358
Mailing address
1403 DUNN AVE STE 2, JACKSONVILLE, FL 32218-4870
(904) 554-8358
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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