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NPI Code Detail

MEDICARE: TREASURED HEARTS CORP

MEDICARE: TREASURED HEARTS CORP
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 : 1619546991
Entity Type Code : Organization
Provider Name (Legal Business Name) : TREASURED HEARTS CORP
Provider Business Mailing Address
First Line : 10349 PIEDMONT RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32218-5229
Country : US
Telephone Number : 904-554-9658
Fax Number :
Provider Business Practice Location Address
First Line : 10349 PIEDMONT RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32218-5229
Country : US
Telephone Number : 904-554-9658
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. TERRISHA MILLER
Credential :
Telephone Number : 904-554-9658
Provider Enumeration Date : 06/22/2021
Last Update Date : 06/22/2021

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Directions to “TREASURED HEARTS CORP ” Practice Location

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