Organization
LYSAL PROF. MKTG. & HOME HEALTHCARE MNGMT. GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDA LYNN MOORE BS (CEO)
(904) 759-5089
Entity
Organization
Contact information
Practice address
7225 SHARBETH DR S, JACKSONVILLE, FL 32210-4753
(855) 334-3339
(904) 573-2610
Mailing address
7225 SHARBETH DR S, JACKSONVILLE, FL 32210-4753
(855) 334-3339
(904) 573-2610
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH8370
FL
363LC1500X
Community Health Nurse Practitioner
Primary
ARNP9300116
FL
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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