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General NPI Number Information
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NPI Number | 1780561837
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Entity Type | Organization
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Legal Business Name | SERAVA CARE INC.
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 11360 MANATEE DR
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City | JACKSONVILLE
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State | FL
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Zip | 32218-3642
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Country | US
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Telephone | 904-648-7462
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Fax | 904-648-7462
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Provider Business Mailing Address
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Address Line | 11360 MANATEE DR
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City | JACKSONVILLE
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State | FL
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Zip | 32218-3642
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Country | US
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Telephone | 904-648-7462
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Fax | 904-648-7462
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Authorized Official
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Title or Position | OWNER
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Name | TREKENA SHALESE WHIPPLE
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Credential |
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Telephone | 904-982-4140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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