Organization
BAPTIST HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE ROGERS R.PH (VICE PRESIDENT)
(904) 202-4331
Entity
Organization
Contact information
Practice address
3563 PHILIPS HWY, BLD 202, SUITE 202, JACKSONVILLE, FL 32207
(904) 202-4341
Mailing address
3563 PHILLIPS HWY, SUITE 202 BLD B, JACKSONVILLE, FL 32207-5663
(904) 202-4341
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299992421
STATE LICENSE
FL
Enumeration date
03/22/2007
Last updated
11/04/2008
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