Stump Med
Home Health in Jacksonville, FL. Organization (NPI-2).
NPI number1952844326
StatusActive
Last updated in NPPESDec 2, 2016
Details
- NPI
- 1952844326
- Entity type
- Organization (NPI-2)
- Legal business name
- Stump Med
- Organization subpart
- No
- Enumeration date
- Dec 2, 2016
- Last updated
- Dec 2, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
2876 Lantana Lakes Dr EJacksonville, FL 32246-1807
Phone 904-502-8213
Mailing address
2876 Lantana Lakes Dr EJacksonville, FL 32246-1807
Phone 904-502-8213
Authorized official
Danille Crethers
President/Owner
9045028213
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