Organization
TERESA ALF, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA DUNN (ADMINISTRATOR)
(904) 549-5705
Entity
Organization
Contact information
Practice address
1960 TUSKEGEE RD, JACKSONVILLE, FL 32209-2644
(904) 549-5705
Mailing address
1960 TUSKEGEE RD, JACKSONVILLE, FL 32209-2644
(904) 549-5705
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
601226
—
FL
Enumeration date
09/16/2015
Last updated
09/16/2015
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