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Organization

REGIONAL COMPANIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JASMINE SHANALE JOHNSON CNA (MANAGER)
(407) 795-7453
Entity
Organization

Contact information

Practice address
410 EDINBURGH DR, COCOA, FL 32922-7334
(407) 795-7453
Mailing address
663 COCONUT ST SE, PALM BAY, FL 32909-4462
(407) 795-7453

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
08/13/2025
Last updated
08/13/2025
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