A Mother'S Heart Health Care Services
Community/Behavioral Health in Jacksonville, FL. Organization (NPI-2).
NPI number1962898221
StatusActive
Last updated in NPPESApr 13, 2015
Details
- NPI
- 1962898221
- Entity type
- Organization (NPI-2)
- Legal business name
- A Mother'S Heart Health Care Services
- Organization subpart
- No
- Enumeration date
- Apr 13, 2015
- Last updated
- Apr 13, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 251E00000X | Home Health | – | – | |
| 253Z00000X | In Home Supportive Care | – | – |
Practice location
2242 Bristol Spring CtJacksonville, FL 32246-7170
Phone 904-997-9511 · Fax 904-642-5985
Mailing address
2242 Bristol Spring CtJacksonville, FL 32246-7170
Phone 904-997-9511 · Fax 904-642-5985
Authorized official
Elnora B. Gardner
Owner/President
9049979511
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