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Organization

LADY SPEARHEAD, LLC

Active
Other names
Saint Michael's Home Care
Organization subpart
No

Provider details

NPI number
Authorized official
JAYNE BOGDAJEWICZ (DIRECTOR OF OPERATIONS)
(904) 834-2474
Entity
Organization

Contact information

Practice address
10033 SAWGRASS DR W, SUITE 209, PONTE VEDRA BEACH, FL 32082-3564
(904) 834-2474
Mailing address
10033 SAWGRASS DR W UNIT 209, PONTE VEDRA BEACH, FL 32082-3550

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
305R00000X
Preferred Provider Organization
233379
FL
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
06/02/2015
Last updated
02/12/2026
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