Organization
TAKE CARE PROVIDER SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY G HANNANS (OWNER)
(904) 802-1527
Entity
Organization
Contact information
Practice address
6897 LAKE MIST LANE, JACKSONVILLE, FL 32210
(904) 802-1527
Mailing address
6897 LAKE MIST LANE, JACKSONVILLE, FL 32210
(904) 802-1527
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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