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NPI Code Detail

MEDICARE: KIRKLAND'S HOME HEALTHCARE, LLC

MEDICARE: KIRKLAND'S HOME HEALTHCARE, 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
1261QD1600XDevelopmental Disabilities Clinic/Center

General Provider Information

NPI Number : 1528926540
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIRKLAND'S HOME HEALTHCARE, LLC
Provider Business Mailing Address
First Line : 1248 EDGEWOOD AVE W STE 3
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32208-2874
Country : US
Telephone Number : 904-844-6681
Fax Number :
Provider Business Practice Location Address
First Line : 1248 EDGEWOOD AVE W STE 3
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32208-2874
Country : US
Telephone Number : 904-844-6681
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ALEXUS EDWARDS
Credential :
Telephone Number : 904-844-6681
Provider Enumeration Date : 01/10/2026
Last Update Date : 01/10/2026

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Directions to “KIRKLAND'S HOME HEALTHCARE, LLC ” Practice Location

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