Organization
QUALITY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARISA GRIGORYAN (ADMINISTRATOR)
(904) 707-7675
Entity
Organization
Contact information
Practice address
12639 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258-2232
(904) 707-7675
(855) 463-5928
Mailing address
12639 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258-2232
(904) 707-7675
(855) 463-5928
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100858000
—
FL
Enumeration date
11/19/2018
Last updated
12/27/2023
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