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Organization

TIDAJAY CARE SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MUSU KAISAMBA JUSU (OWNER)
(904) 714-1020
Entity
Organization

Contact information

Practice address
1140 SUNRAY CT, JACKSONVILLE, FL 32218-8038
(904) 714-1020
(904) 714-4501
Mailing address
1140 SUNRAY CT, JACKSONVILLE, FL 32218-8038
(904) 714-1020
(904) 714-4501

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5159858
FL

Other

Enumeration date
02/22/2008
Last updated
02/22/2008
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