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NPI Code Detail

MEDICARE: EMMILY'S TENDER TOUCH HOME HEALTHCARE LLC

MEDICARE: EMMILY'S TENDER TOUCH HOME HEALTHCARE LLC
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 Agency

General Provider Information

NPI Number : 1447946496
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMMILY'S TENDER TOUCH HOME HEALTHCARE LLC
Provider Business Mailing Address
First Line : 5807 CASTELLANO AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32208-3771
Country : US
Telephone Number : 904-684-3816
Fax Number :
Provider Business Practice Location Address
First Line : 5807 CASTELLANO AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32208-3771
Country : US
Telephone Number : 904-684-3816
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : KIMBERLY CORTINA DOUGLAS
Credential :
Telephone Number : 904-684-3816
Provider Enumeration Date : 04/13/2023
Last Update Date : 04/13/2023

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Directions to “EMMILY'S TENDER TOUCH HOME HEALTHCARE LLC ” Practice Location

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