Organization
HOME ABILITY STORE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THIERRY GRABER (PRESIDENT & CEO)
(904) 366-9476
Entity
Organization
Contact information
Practice address
7660 PHILIPS HIGHWAY, SUITE 4, JACKSONVILLE, FL 32256
(904) 999-4705
Mailing address
7660 PHILIPS HIGHWAY, SUITE 4, JACKSONVILLE, FL 32256
(904) 999-4705
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1313961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1313961
AHCA HME LICENSE NUMBER
FL
Enumeration date
04/14/2016
Last updated
04/14/2016
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