Organization
SURROUNDING WITH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESTEIRA HAMILTON (OWNER)
(904) 762-3894
Entity
Organization
Contact information
Practice address
8664 JULIA MARIE CIR, JACKSONVILLE, FL 32210-0416
(904) 762-3894
Mailing address
8664 JULIA MARIE CIR, JACKSONVILLE, FL 32210-0416
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
COMPANION
—
FL
05
—
HOMEMAKER
—
FL
Enumeration date
07/28/2021
Last updated
07/28/2021
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