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1295334191
AGING AT HOME LLC
JACKSONVILLE, FL
NPI
1295334191
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Entity Type
Organization
Authorized Contact
LAPATRA FISHER
Owner
205-517-0505
Organization Subpart ?
No
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2020-10-21
Last Update Date
2020-10-21
Business Address
AGING AT HOME LLC
1858 FOREST HILLS RD
JACKSONVILLE, FL 32208-2535
Phone number: 205-517-0505
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Mailing Address
AGING AT HOME LLC
1858 FOREST HILLS RD
JACKSONVILLE, FL 32208-2535
Phone number:
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