Organization
ARDNAS HEALTH CARE SERVICES OF JACKSONVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA MOODY REGISTERED NURSE (CEO)
(904) 278-5462
Entity
Organization
Contact information
Practice address
2105 PARK AVE, SUITE 25, ORANGE PARK, FL 32073-5583
(904) 278-5462
(904) 215-1462
Mailing address
2105 PARK AVE, SUITE 25, ORANGE PARK, FL 32073-5583
(904) 278-5462
(904) 215-1462
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299992515
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006168600
—
FL
Enumeration date
09/26/2007
Last updated
07/07/2016
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