Healthcare Provider Details

I. General information

NPI: 1427573310
Provider Name (Legal Business Name): PRIORITY LOVE & CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2017
Last Update Date: 05/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7283 OLD MIDDLEBURG RD S
JACKSONVILLE FL
32222
US

IV. Provider business mailing address

PO BOX 17221
JACKSONVILLE FL
32245-7221
US

V. Phone/Fax

Practice location:
  • Phone: 904-465-5509
  • Fax:
Mailing address:
  • Phone: 904-469-5509
  • Fax: 904-672-7380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DAN BRINSON IV
Title or Position: FOUNDER/PRESIDENT
Credential:
Phone: 904-469-5509