MEDICARE: APEX HOME HEALTHCARE 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
1	251E00000X	Home Health Agency		FL

General Provider Information

NPI Number	:	1861441396
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APEX HOME HEALTHCARE SERVICES, LLC

Provider Business Mailing Address
First Line	:	6789 SOUTHPOINT PKWY
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-6282
Country	:	US
Telephone Number	:	904-425-4202
Fax Number	:	904-425-4203

Provider Business Practice Location Address
First Line	:	6789 SOUTHPOINT PKWY
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-6282
Country	:	US
Telephone Number	:	904-425-4202
Fax Number	:	904-425-4203

Authorized Official
Title or Position	:	PRESIDENT CEO
Name	:	MRS. NANCY RALSTON
Credential	:	RN
Telephone Number	:	904-425-4202

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	07/10/2007

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