Organization
FURTHERANCE PRIVATE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NORRISA SPENCER (OWNER)
(904) 866-6035
Entity
Organization
Contact information
Practice address
7620 ORIOLE ST, JACKSONVILLE, FL 32208-3245
(904) 866-6035
Mailing address
7620 ORIOLE ST, JACKSONVILLE, FL 32208-3245
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
234513
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018344800
—
FL
Enumeration date
03/03/2017
Last updated
03/13/2017
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