Organization
PHILLIPS FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ONGEL M PHILLIPS (OWNER)
(904) 629-0831
Entity
Organization
Contact information
Practice address
15827 CANOE CREEK DR, JACKSONVILLE, FL 32218-8329
(904) 629-0831
Mailing address
15827 CANOE CREEK DR, JACKSONVILLE, FL 32218-8329
(904) 629-0831
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
376J00000X
COMPANION
—
Enumeration date
09/10/2021
Last updated
09/10/2021
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