Individual
RUTH WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10749 BAHIA DR, JACKSONVILLE, FL 32246-8829
(904) 642-2434
Mailing address
10749 BAHIA DR, JACKSONVILLE, FL 32246-8829
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906019
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142791100
—
FL
Enumeration date
05/06/2008
Last updated
05/06/2008
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