Annie Wilson Homecare, INC
NPI #1518951003 in Jacksonville, Florida
Provider Information
- NPI Number
- 1518951003
- Entity Type
- Organization
- Organization Name
- Annie Wilson Homecare, INC
- Primary Specialty
- Homemaker
- Enumeration Date
- Sep 9, 2005
- Last Updated
- Oct 19, 2007
Practice Location
- Address
- 1225 W BEAVER ST
- Address 2
- STE 203
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32204-1414
- Phone
- (904) 265-0340
Authorized Official
- Name
- SUSAN MANCHESTER
- Title
- BILLING AGENT
- Phone
- (904) 777-5002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
| Homemaker |
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