Healthcare Provider Details
I. General information
NPI: 1033685003
Provider Name (Legal Business Name): HEALTH SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/17/2018
Last Update Date: 12/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
841 PRUDENTIAL DR STE 204
JACKSONVILLE FL
32207-8347
US
IV. Provider business mailing address
841 PRUDENTIAL DR STE 204
JACKSONVILLE FL
32207-8347
US
V. Phone/Fax
- Phone: 800-848-1989
- Fax:
- Phone: 800-848-1989
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347E00000X |
| Taxonomy | Transportation Broker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
WENDY
YOUNG
Title or Position: DIRECTOR OF CORPORATE COMPLIANCE
Credential: CPCO
Phone: 469-620-0883