Organization
JORDAN HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAQUITA JORDAN (PRESIDENT)
(132) 305-7517
Entity
Organization
Contact information
Practice address
2446 DIANNE DR, COCOA, FL 32926-5304
(321) 480-5371
(321) 208-8311
Mailing address
2446 DIANNE DR, COCOA, FL 32926-5304
(321) 305-7517
(321) 208-8311
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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