A Heart Full Of Blessings
In Home Supportive Care in Jacksonville, FL. Organization (NPI-2).
NPI number1649970435
StatusActive
Last updated in NPPESMar 9, 2023
Details
- NPI
- 1649970435
- Entity type
- Organization (NPI-2)
- Legal business name
- A Heart Full Of Blessings
- Organization subpart
- No
- Enumeration date
- Mar 9, 2023
- Certification date
- Mar 9, 2023
- Last updated
- Mar 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Other names
- A Heart Full Of Blessings (Former Legal Business Name)
Practice location
2051 W 45th StJacksonville, FL 32209-3047
Phone 904-469-9912
Mailing address
2051 W 45th StJacksonville, FL 32209-3047
Phone 904-469-9912
Authorized official
Shericka Rose Phelps
Caregiver
9044699912
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