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Organization

HARRIS IN HOME SUPPORTIVE CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAYSHAUN HARRIS (OWNER)
(904) 294-4531
Entity
Organization

Contact information

Practice address
10574 LAKE HOLLOW LN, JACKSONVILLE, FL 32257-3788
(904) 294-4531
Mailing address
10574 LAKE HOLLOW LN, JACKSONVILLE, FL 32257-3788
(904) 294-4531

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
372600000X
Adult Companion
376J00000X
Homemaker
Primary

Other

Enumeration date
01/26/2022
Last updated
01/26/2022
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