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Organization

AMORE QUALITY SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GERALDINE JACKSON (MEDICAID WAIVER PROVIDER)
(904) 766-1570
Entity
Organization

Contact information

Practice address
7868 DENHAM RD E, JACKSONVILLE, FL 32208-3007
(904) 766-1570
Mailing address
7868 DENHAM RD E, JACKSONVILLE, FL 32208-3007
(904) 766-1570

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
692298896
FL
385HR2050X
Respite Care Camp
Primary
692298896
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
253Z00000X
FL
05
385H00000X
FL
Enumeration date
03/24/2011
Last updated
03/24/2011
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