Organization
HAPPY HEARTS PROVIDER SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHALINDA A WILLIAMS (OWNER)
(904) 712-0408
Entity
Organization
Contact information
Practice address
2371 MCQUADE ST, JACKSONVILLE, FL 32209-7433
(904) 712-0408
Mailing address
2371 MCQUADE ST, JACKSONVILLE, FL 32209-7433
(904) 712-0408
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COMPANION
HOMEMAKER
FL
Enumeration date
10/06/2021
Last updated
10/06/2021
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