Organization
MOTHERSHIP LOVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA RANDALL (OWNER)
(904) 422-9489
Entity
Organization
Contact information
Practice address
7744 BARRY DR E, JACKSONVILLE, FL 32208-3032
(904) 422-9489
Mailing address
7744 BARRY DR E, JACKSONVILLE, FL 32208-3032
(904) 422-9489
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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