Organization
SMILEY BERRY LLC
Active
Other names
Xavier Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
CHINENYE ESOMONU APRN (ADMINISTRATOR)
(904) 290-1290
Entity
Organization
Contact information
Practice address
12724 GRAN BAY PKWY W, STE 410, OFFICE 452, JACKSONVILLE, FL 32258-9486
(904) 290-1290
Mailing address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(904) 290-1290
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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