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3733 University Blvd W Ste 202 Jacksonville FL 32217-2152 | |
| (904) 862-7700 | |
| (888) 402-9512 |
| Full Name | |
|---|---|
| Speciality | Home Health |
| Location | 3733 University Blvd W Ste 202, Jacksonville, Florida |
| Authorized Official Name and Position | Gail James (CEO) |
| Authorized Official Contact | 9048627700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
15770 Stedman Lake Dr Jacksonville FL 32218-0619 Ph: (904) 554-2185 | 3733 University Blvd W Ste 202 Jacksonville FL 32217-2152 Ph: (904) 862-7700 |
| NPI Number | 1659893998 |
|---|---|
| Provider Enumeration Date | 07/07/2017 |
| Last Update Date | 12/17/2024 |
| Certification Date | 12/17/2024 |
| Medicare PECOS PAC ID | 4587031836 |
|---|---|
| Medicare Enrollment ID | O20221031000926 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659893998 | NPI | - | NPPES |
| 0220226728 | Other | VI | PERSONAL NUMBER |
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