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Organization

SENIOR CARE SOURCE, INC.

Active
Other names
Care Source Staffing
Organization subpart
No

Provider details

NPI number
Authorized official
DANIELLE L. JACKSON RN (CEO)
(386) 334-1476
Entity
Organization

Contact information

Practice address
410 S. BEACH ST., SUITE 310, DAYTONA BEACH, FL 32114
(386) 334-1476
(386) 951-6449
Mailing address
410 S. BEACH ST., SUITE 310, DAYTONA BEACH, FL 32114
(386) 334-1476
(386) 951-6449

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
234295
FL
253Z00000X
In Home Supportive Care Agency
Primary
234295
FL

Other

Enumeration date
02/07/2017
Last updated
02/07/2017
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