Organization
ARMS OF JESUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLEN D OHAIR (OWNER)
(502) 600-2367
Entity
Organization
Contact information
Practice address
3424 SE 146TH PL, SUMMERFIELD, FL 34491
(502) 600-2367
Mailing address
3424 SE 146TH PL, SUMMERFIELD, FL 34491-3970
(502) 600-2367
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
374T00000X
Religious Nonmedical Nursing Personnel
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1928
ANY
FL
05
—
1929
—
FL
Enumeration date
02/27/2019
Last updated
02/28/2019
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