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Organization

ARMS OF JESUS

Active
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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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