Organization
ALPHA-OMEGA HOMECARE AND SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIA HART (OWNER)
(904) 312-0318
Entity
Organization
Contact information
Practice address
6028 CHESTER AVE STE 207, JACKSONVILLE, FL 32217-2285
(904) 862-7390
Mailing address
10149 DOGWOOD CREEK DR, JACKSONVILLE, FL 32222-4122
(904) 312-0318
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
Update your record
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