Organization
HEARTS OF GOLD 4 COMPANIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ARIAN SHEREE HARRISON (OWNER)
(904) 762-7177
Entity
Organization
Contact information
Practice address
1540 LAKE SHORE BLVD, JACKSONVILLE, FL 32205-7218
(904) 762-7177
Mailing address
1540 LAKE SHORE BLVD, JACKSONVILLE, FL 32205-7218
(904) 762-7177
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11635400
—
FL
Enumeration date
01/09/2023
Last updated
01/09/2023
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