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123 Butterfly Effects L.L.C

Nurse's Aide in Jacksonville, FL. Organization (NPI-2).

NPI number1124610092
StatusActive
Last updated in NPPESFeb 10, 2021

Details

NPI
1124610092
Entity type
Organization (NPI-2)
Legal business name
123 Butterfly Effects L.L.C
Organization subpart
Yes
Enumeration date
Feb 10, 2021
Certification date
Feb 10, 2021
Last updated
Feb 10, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's Aide––Yes
251J00000X Nursing Care––
374U00000X Home Health Aide––

Other names

  • Jacqueline Holmes (Doing Business As)

Practice location

6619 Albicore Rd
Jacksonville, FL 32244-1821

Phone 770-776-9567

Mailing address

6619 Albicore Rd
Jacksonville, FL 32244-1821

Phone 770-776-9567

Authorized official

Jacqueline Holmes
Owner
7707769567

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