MEDICARE: ALLISON HOWARD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	253Z00000X	In Home Supportive Care Agency
3	385H00000X	Respite Care
4	385HR2055X	Child Mental Illness Respite Care
5	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
6	385HR2065X	Child Physical Disabilities Respite Care
7	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1619441391
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLISON HOWARD

Provider Business Mailing Address
First Line	:	2819 FITZGERALD ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32254-4348
Country	:	US
Telephone Number	:	904-330-9689
Fax Number	:

Provider Business Practice Location Address
First Line	:	2819 FITZGERALD ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32254-4348
Country	:	US
Telephone Number	:	904-330-9689
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. ALLISON HOWARD
Credential	:
Telephone Number	:	904-330-9689

Provider Enumeration Date	:	01/16/2019
Last Update Date	:	01/16/2019

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Directions to “ALLISON HOWARD ” Practice Location

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