Organization
COMPASSIONATE HOMES & MEDICAL SUPPLIES SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA A ADESANYA PRESIDENT (CEO)
(904) 551-0465
Entity
Organization
Contact information
Practice address
6730 GOLDENEYE DR, ORLANDO, FL 32810-6088
(904) 551-0465
(904) 551-0465
Mailing address
3419 GLENN HOLLOW CT, JACKSONVILLE, FL 32226-2352
(904) 551-0465
(904) 551-0465
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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