Organization
FROM THE HEART MEDWAIVER PROVIDER, INC
Active
Organization
FROM THE HEART MEDWAIVER PROVIDER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLOTTE JEAN CARUSO (PRESIDENT)
(904) 764-3127
Entity
Organization
Contact information
Practice address
3001 PERCY RD, JACKSONVILLE, FL 32218-2325
(904) 764-3127
(904) 764-2659
Mailing address
3001 PERCY RD, JACKSONVILLE, FL 32218-2325
(904) 764-3127
(904) 764-2659
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
FL
Other
Enumeration date
08/02/2006
Last updated
06/05/2008
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