Organization
JCI FAMILY CORPORATION
Active
Other names
Homewell Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ISLANDE STUPPARD (CARE MANAGER)
(407) 298-9612
Entity
Organization
Contact information
Practice address
1560 RANDOLPH ST, DELTONA, FL 32725-8439
(407) 298-9612
(386) 259-4065
Mailing address
PO BOX 5334, DELTONA, FL 32728-5334
(407) 298-9612
(386) 259-4065
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
BU0006403
FL
Other
Enumeration date
01/17/2007
Last updated
04/24/2008
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