Organization
LOVED ONES HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WISLY NOEL (OWNER)
(904) 554-6051
Entity
Organization
Contact information
Practice address
3431 BRAHMA BULL CIR N, JACKSONVILLE, FL 32226-4879
(904) 554-6051
(904) 361-3235
Mailing address
3431 BRAHMA BULL CIR N, JACKSONVILLE, FL 32226-4879
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906679
FL
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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