Individual
ANGELA PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5301 CORD AVE, JACKSONVILLE, FL 32209-3171
(904) 763-9977
Mailing address
5301 CORD AVE, JACKSONVILLE, FL 32209-3171
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/01/2019
Last updated
06/01/2019
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