Organization
RIVER CITY PROFESSIONAL SERVICES, INC.
Active
Other names
River City Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE C MIKAN (CEO)
(904) 501-5988
Entity
Organization
Contact information
Practice address
6100 GREENLAND RD STE 602, JACKSONVILLE, FL 32258-7436
(904) 418-7900
(904) 418-7901
Mailing address
6100 GREENLAND RD STE 602, JACKSONVILLE, FL 32258-7436
(904) 418-7900
(904) 418-7901
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
30211677
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30211677
NURSE REGISTRY LICENSE
FL
Enumeration date
05/20/2016
Last updated
02/17/2022
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