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NPI Code Detail

MEDICARE: ANOINTED COMPANION HOME CARE

MEDICARE: ANOINTED COMPANION HOME CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency228884FL

General Provider Information

NPI Number : 1225233505
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANOINTED COMPANION HOME CARE
Provider Business Mailing Address
First Line : PO BOX 62221
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32208-8321
Country : US
Telephone Number : 904-765-1711
Fax Number : 904-765-4211
Provider Business Practice Location Address
First Line : 2564 EDGEWOOD AVE W STE 2
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32209-2496
Country : US
Telephone Number : 904-765-1711
Fax Number : 904-765-4211
Authorized Official
Title or Position : OWNER
Name : MS. EVELYN D MOORE
Credential :
Telephone Number : 904-765-1711
Provider Enumeration Date : 06/18/2007
Last Update Date : 08/22/2020

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Directions to “ANOINTED COMPANION HOME CARE ” Practice Location

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