Organization
HARMONY FIRST HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MARIE AWOYALE RN (OWNER/ADMINISTRATOR)
(321) 263-1954
Entity
Organization
Contact information
Practice address
1615 RIDGEWOOD AVE STE 101, HOLLY HILL, FL 32117-1749
(386) 868-5900
Mailing address
1615 RIDGEWOOD AVE STE 101, HOLLY HILL, FL 32117-1749
(386) 868-5900
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109936900
—
FL
Enumeration date
11/08/2021
Last updated
11/08/2021
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