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Organization

ICARE PROVIDER SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GENEA WIGGINS (OWNER)
(904) 502-2702
Entity
Organization

Contact information

Practice address
5260 COLLINS RD UNIT 1002, JACKSONVILLE, FL 32244-8239
(904) 502-2702
Mailing address
5260 COLLINS RD UNIT 1002, JACKSONVILLE, FL 32244-8239
(904) 502-2702

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
372600000X
Adult Companion
376J00000X
Homemaker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
COMPANION
HOMEMAKER
Enumeration date
04/08/2021
Last updated
08/04/2022
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