Organization
SURROUNDED BY LOVE SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMEKA JONES (CEO)
(904) 866-3717
Entity
Organization
Contact information
Practice address
9045 GLOUCESTERSHIRE CT, JACKSONVILLE, FL 32219-4398
(904) 866-3717
Mailing address
9045 GLOUCESTERSHIRE CT, JACKSONVILLE, FL 32219-4398
(904) 866-3717
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HOMECARE
COMPANION
FL
01
—
HOMECARE
HOMEMAKER
—
05
—
HOMECARE
—
FL
Enumeration date
07/27/2022
Last updated
07/27/2022
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