Organization
COMPASSIONATE HEARTS HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANQUAN LAKEISHA WILSON (OWNER)
(904) 554-9274
Entity
Organization
Contact information
Practice address
4651 ROANOKE BLVD, JACKSONVILLE, FL 32208-1126
(904) 554-9274
Mailing address
4651 ROANOKE BLVD, JACKSONVILLE, FL 32208-1126
(904) 554-9274
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
233056
FL
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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