Organization
AUTISM HOME HEALTH MOMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN LEE RICARD (OWNER/PARENT)
(772) 924-5773
Entity
Organization
Contact information
Practice address
798 SW BELMONT CIR, PORT SAINT LUCIE, FL 34953-6338
(772) 924-5773
Mailing address
798 SW BELMONT CIR, PORT SAINT LUCIE, FL 34953-6338
(772) 924-5773
Taxonomy
Speciality
Code
Description
License number
State
364SH0200X
Home Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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