Organization
CHARLOTTE'S WAY ADC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTINE APPLETON (EXECUTIVE DIRECTOR)
(904) 365-7161
Entity
Organization
Contact information
Practice address
2538 BLACKSTONE CT, JACKSONVILLE, FL 32221-4909
(904) 365-7161
Mailing address
2538 BLACKSTONE CT, JACKSONVILLE, FL 32221-4909
(904) 365-7161
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
005627300
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005627300
—
FL
Enumeration date
10/31/2014
Last updated
10/31/2014
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