Organization
C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE ALEXANDRIA NUNNE (OWNER)
(850) 590-7361
Entity
Organization
Contact information
Practice address
1009 CONCORD RD, TALLAHASSEE, FL 32308-6217
(850) 590-7361
Mailing address
PO BOX 413, TALLAHASSEE, FL 32302-0413
(850) 590-7361
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
233070
FL
251G00000X
Community Based Hospice Care Agency
233070
FL
Other
Enumeration date
06/30/2013
Last updated
06/30/2013
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