Organization
ACTS RETIREMENT-LIFE COMMUNITIES
Active
Other names
Azalea Trace Home Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANINE MELVIN RN (ADMINISTRATOR/CEO)
(850) 857-4975
Entity
Organization
Contact information
Practice address
10100 HILLVIEW DR, PENSACOLA, FL 32514-5436
(850) 857-4975
(850) 474-0558
Mailing address
10100 HILLVIEW DR, PENSACOLA, FL 32514-5436
(850) 857-4975
(850) 474-0558
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
299992943
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299992943
AGENCY FOR HEALTH CARE ADMINISTRATION
FL
Enumeration date
12/05/2012
Last updated
10/08/2013
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