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Take Care Provider Services LLC

Homemaker in Jacksonville, FL. Organization (NPI-2).

NPI number1417536186
StatusActive
Last updated in NPPESApr 7, 2021

Details

NPI
1417536186
Entity type
Organization (NPI-2)
Legal business name
Take Care Provider Services LLC
Organization subpart
No
Enumeration date
Apr 7, 2021
Certification date
Apr 7, 2021
Last updated
Apr 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376J00000X Homemaker––Yes
251E00000X Home Health––
372600000X Adult Companion––

Practice location

6897 Lake Mist Lane
Jacksonville, FL 32210

Phone 904-802-1527

Mailing address

6897 Lake Mist Lane
Jacksonville, FL 32210

Phone 904-802-1527

Authorized official

Tiffany G Hannans
Owner
9048021527

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