Organization
AFFIANCE HEALTH CARE SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUGIATU MANSARAY (ADMINISTRTOR/D.O.N)
(904) 683-8666
Entity
Organization
Contact information
Practice address
6015 CHESTER CIRCLE STE 104, JACKSONVILLE, FL 32217-2265
(904) 683-8666
(904) 683-8666
Mailing address
6015 CHESTER CIRCLE STE 104, JACKSONVILLE, FL 32217-2265
(904) 683-8666
(904) 683-8672
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299993654
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001433200
—
FL
Enumeration date
01/29/2010
Last updated
08/20/2010
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