Organization
BLR PROVIDER CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA MIDDLETON (OWNER)
(904) 677-1372
Entity
Organization
Contact information
Practice address
2102 SOTTERLEY LN, JACKSONVILLE, FL 32220-5033
(904) 677-1372
Mailing address
2102 SOTTERLEY LN, JACKSONVILLE, FL 32220-5033
(904) 677-1372
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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