Organization
AGING AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAPATRA FISHER CNA (OWNER)
(205) 517-0505
Entity
Organization
Contact information
Practice address
1858 FOREST HILLS RD, JACKSONVILLE, FL 32208-2535
(205) 517-0505
Mailing address
1858 FOREST HILLS RD, JACKSONVILLE, FL 32208-2535
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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