Organization
NURSE SOURCE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CALLIE CREWS (OWNER)
(904) 259-2935
Entity
Organization
Contact information
Practice address
85 N 4TH ST, MACCLENNY, FL 32063-2109
(904) 259-2935
Mailing address
85 N 4TH ST, MACCLENNY, FL 32063-2109
(904) 259-2935
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
FL
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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