Organization
PARAKLETOS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMILAH LYONS (OWNER)
(786) 495-6664
Entity
Organization
Contact information
Practice address
3107 FARMINGTON DR, GREENSBORO, NC 27407-5702
(786) 495-6664
Mailing address
850 GLENDALE LN, ORANGE PARK, FL 32065-5630
(786) 495-6664
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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