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NPI Code Detail

MEDICARE: BKD PERSONAL ASSISTANCE SERVICES LLC

MEDICARE: BKD PERSONAL ASSISTANCE SERVICES 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1487371183
Entity Type Code : Organization
Provider Name (Legal Business Name) : BKD PERSONAL ASSISTANCE SERVICES LLC
Provider Business Mailing Address
First Line : 9601 SOUTHBROOK DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-0601
Country : US
Telephone Number : 904-641-7501
Fax Number :
Provider Business Practice Location Address
First Line : 9601 SOUTHBROOK DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-0601
Country : US
Telephone Number : 904-641-7501
Fax Number :
Authorized Official
Title or Position : SENIOR VICE PRESIDENT
Name : JOANNE K LESKOWICZ
Credential :
Telephone Number : 414-918-5000
Provider Enumeration Date : 10/24/2022
Last Update Date : 10/24/2022

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Directions to “BKD PERSONAL ASSISTANCE SERVICES LLC ” Practice Location

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