Organization
CONCIERGE CARE OF PONTE VEDRA LLC
Active
Other names
Concierge Care
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY RALSTON (MANAGING PARTNER)
(904) 534-1655
Entity
Organization
Contact information
Practice address
230 CANAL BLVD STE 4, PONTE VEDRA BEACH, FL 32082-3745
(904) 429-4440
Mailing address
6817 SOUTHPOINT PKWY STE 1004, JACKSONVILLE, FL 32216-8201
(904) 534-1655
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
SENIOR CARE REFERRAL AGENCY
FL
Enumeration date
11/06/2018
Last updated
09/08/2022
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