Organization
HEART OF CARRIE LLC
Active
Other names
Heart of Carrie LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA DIONNE JACKSON (ADMINISTRATOR)
(386) 264-1398
Entity
Organization
Contact information
Practice address
17 OLD KINGS RD N STE E, PALM COAST, FL 32137-8283
(386) 585-4406
Mailing address
17 OLD KINGS RD N STE E, PALM COAST, FL 32137-8283
(386) 585-4406
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
02/22/2024
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