Peaches-na-basket Adult Health Care Services

NPI 1225309040 - In Home Supportive Care - 253Z00000X

NPI Details
NPI 1225309040
Enumeration Date 01/25/2012
Last Updated 01/25/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name B. DOLORES B.
Position CEO
Phone (904) 766-4993
Fax (904) 766-4993
Practice Location
2040 SOUTEL DR
JACKSONVILLE FL, 32208-2280, US
Phone (904) 766-4993
Fax (904) 766-4993
Business Location
2040 SOUTEL DR
JACKSONVILLE FL, 32208-2280, US
Phone (904) 766-4993
Fax (904) 766-4993
Toxanomy
Taxonomy Code 253Z00000X
License State
License Number
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According to our database, Peaches-na-basket Adult Health Care Services NPI is 1225309040, taxonomy code is 253Z00000X Peaches-na-basket Adult Health Care Services physically located at 2040 Soutel Dr, Jacksonville FL, 32208-2280. NPI Number 1033115704 has the healthcare provider type.

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1225309040 NPI number is provided on an as is basis without warranty of any kind. 1225309040 is maintained by the National Plan & Provider Enumeration System. The contents of Peaches-na-basket Adult Health Care Services are for informational purposes only.