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Organization

ANNIE WILSON HOMECARE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN MANCHESTER (BILLING AGENT)
(904) 777-5002
Entity
Organization

Contact information

Practice address
1225 W BEAVER ST, STE 203, JACKSONVILLE, FL 32204-1414
(904) 265-0340
(904) 265-1906
Mailing address
1225 W BEAVER ST, STE 203, JACKSONVILLE, FL 32204-1414
(904) 265-0340
(904) 265-1906

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
376J00000X
Homemaker
Primary

Other

Enumeration date
09/09/2005
Last updated
10/19/2007
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