Organization
CARETENDERS VISITING SERVICES OF ST. AUGUSTINE, LLC
Active
Other names
Apex Companion Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
200 E GRANADA BLVD STE 208, ORMOND BEACH, FL 32176-6692
(386) 615-2053
(386) 676-2173
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104088500
—
FL
Enumeration date
01/29/2019
Last updated
10/10/2023
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