Organization
ASSISTANCE HOMECARE 101
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAZEL JENNINGS (OWNER)
(904) 619-6331
Entity
Organization
Contact information
Practice address
10317 RIPPLE RUSH DR W, JACKSONVILLE, FL 32257-4764
(904) 619-6331
Mailing address
10317 RIPPLE RUSH DR W, JACKSONVILLE, FL 32257-4764
(904) 619-6331
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1000045026
FL
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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