Organization
PURPLE MEDI-CARE.COM INC
Active
Other names
Purple Companion Care
Organization subpart
No
Provider details
NPI number
Authorized official
PATRINYA JORDAN (CEO)
(904) 479-2051
Entity
Organization
Contact information
Practice address
2150 SOUTEL DR STE 8, JACKSONVILLE, FL 32208-2281
(904) 437-4034
Mailing address
2150 SOUTEL DR STE 8, JACKSONVILLE, FL 32208-2281
(904) 437-4034
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9901
TRANSPORTATION AND HOME COMPANION
FL
Enumeration date
02/13/2023
Last updated
05/31/2023
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