Organization
SOURCE COMPANION SERIVCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDE HARRIS (OWNER)
(904) 684-3336
Entity
Organization
Contact information
Practice address
9061 WESTERN WAY UNIT 4, JACKSONVILLE, FL 32256-0380
(904) 684-3336
Mailing address
9061 WESTERN WAY UNIT 4, JACKSONVILLE, FL 32256-0380
(904) 684-3336
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/23/2026
Last updated
06/23/2026
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