Organization
A & S HOME CARING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMONE SMITH (OWNER)
(904) 930-0056
Entity
Organization
Contact information
Practice address
11496 JOHNSON CREEK CIR, JACKSONVILLE, FL 32218-9319
(904) 930-0056
Mailing address
11496 JOHNSON CREEK CIR, JACKSONVILLE, FL 32218-9319
(904) 930-0056
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108134000
—
FL
05
—
111844600
—
FL
Enumeration date
07/09/2021
Last updated
03/16/2022
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