Organization
GREATERJAXHOMEHEALTHSERVICESLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDNA WATKINS (MANAGING MEMBER)
(904) 647-5063
Entity
Organization
Contact information
Practice address
7749 NORMANDY BLVD # 145-338, JACKSONVILLE, FL 32221-7657
(904) 647-5063
(904) 647-6134
Mailing address
7749 NORMANDY BLVD # 145-338, JACKSONVILLE, FL 32221-7657
(904) 647-5063
(904) 647-6134
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/06/2011
Last updated
08/06/2011
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