Organization
BLACKSTONE HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE DENNIS (ADMINISTRATOR)
(904) 703-9214
Entity
Organization
Contact information
Practice address
101 CENTURY 21 DR STE 208, JACKSONVILLE, FL 32216-9293
(904) 703-9214
Mailing address
101 CENTURY 21 DR STE 208, JACKSONVILLE, FL 32216-9293
(904) 703-9214
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
314000000X
Skilled Nursing Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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