Organization
C AND C SHELTER CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLETTE KATRELL HOLMES (ADMINISTRATOR/OWNER)
(904) 673-7212
Entity
Organization
Contact information
Practice address
7414 IRVING SCOTT DR, JACKSONVILLE, FL 32209-1029
(904) 673-7212
(904) 212-0253
Mailing address
7414 IRVING SCOTT DR, JACKSONVILLE, FL 32209-1029
(904) 673-7212
(904) 212-0253
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015058700
—
FL
05
—
114599200
—
FL
Enumeration date
04/22/2022
Last updated
03/26/2026
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