Organization
MED WAIVER SOLUTIONS LLC
Active
Other names
Direct Home Care Service
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WAYSHAWN KAY (OWNER)
(904) 505-5677
Entity
Organization
Contact information
Practice address
1222 N LIBERTY ST, JACKSONVILLE, FL 32206-5134
(904) 505-5677
(904) 458-8987
Mailing address
1222 N LIBERTY ST, JACKSONVILLE, FL 32206-5134
(904) 505-5677
(904) 458-8987
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018273300
—
FL
01
—
236620
AHCA
FL
Enumeration date
01/19/2018
Last updated
10/19/2022
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