Organization
EENCORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL GIBSON (OWNER/DIRECTOR)
(904) 521-0493
Entity
Organization
Contact information
Practice address
1734 KINGSLEY AVE STE 6, ORANGE PARK, FL 32073-4418
(904) 521-0493
Mailing address
1734 KINGSLEY AVE STE 6, ORANGE PARK, FL 32073-4418
(904) 521-0493
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
347C00000X
Private Vehicle
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
07/25/2021
Last updated
07/25/2021
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