Healthcare Provider Details

I. General information

NPI: 1508021452
Provider Name (Legal Business Name): HOMEBOUND ALTERNATIVES INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2008
Last Update Date: 07/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8663 SAN SERVERA DR E
JACKSONVILLE FL
32217-4614
US

IV. Provider business mailing address

PO BOX 58178
JACKSONVILLE FL
32241-8178
US

V. Phone/Fax

Practice location:
  • Phone: 904-268-2552
  • Fax:
Mailing address:
  • Phone: 904-268-2552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: SARA MOORE
Title or Position: OWNER
Credential:
Phone: 904-268-2552