Organization
JS HOME & COMPANION CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAMIEKA SHACKELFORD (CEO/ PRESIDENT)
(727) 348-8554
Entity
Organization
Contact information
Practice address
1361 TERRACE RD, CLEARWATER, FL 33755-2059
(727) 348-8554
Mailing address
1361 TERRACE RD, CLEARWATER, FL 33755-2059
(727) 348-8554
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236498
AHCA
FL
Enumeration date
10/14/2020
Last updated
10/14/2020
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