Organization
HEAVENLY HOME SWEET HOME, INC.
Active
Other names
Xtraordinary Services 4 Xtraordinary People
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAIL JAMES PHD. (CEO)
(904) 862-7700
Entity
Organization
Contact information
Practice address
3733 UNIVERSITY BLVD W STE 202, JACKSONVILLE, FL 32217-2152
(904) 862-7700
(888) 402-9512
Mailing address
15770 STEDMAN LAKE DR, JACKSONVILLE, FL 32218-0619
(904) 554-2185
(888) 402-9512
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0220226728
PERSONAL NUMBER
VI
Enumeration date
07/07/2017
Last updated
12/17/2024
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