Organization
SENIOR CARE SOURCE, INC.
Active
Other names
Care Source Staffing
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE JACKSON RN (ADMINISTRATOR)
(386) 334-1476
Entity
Organization
Contact information
Practice address
213 BIRKDALE DR, DAYTONA BEACH, FL 32124-2053
(386) 334-1476
Mailing address
213 BIRKDALE DR, DAYTONA BEACH, FL 32124-2053
(386) 334-1476
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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