Organization
HEALTH CARE SERVICES POOL, LLC
Active
Other names
PRO SERV
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDOLPH L KERNON II LNHA (VICE PRESIDENT)
(386) 257-4400
Entity
Organization
Contact information
Practice address
595 N WILLIAMSON BLVD, DAYTONA BEACH, FL 32114-7185
(386) 257-4400
(386) 257-4372
Mailing address
595 N WILLIAMSON BLVD, DAYTONA BEACH, FL 32114-7185
(386) 257-4400
(386) 257-4372
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
164W00000X
Licensed Practical Nurse
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
09/24/2007
Last updated
06/12/2008
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