Provider Demographics
NPI:1033988365
Name:SYMMETRY SUPPORT & CARE, LLC
Entity Type:Organization
Organization Name:SYMMETRY SUPPORT & CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHIQUITA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:904-803-6151
Mailing Address - Street 1:4023 SHERMAN HILLS PKWY W
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32210-0438
Mailing Address - Country:US
Mailing Address - Phone:904-803-6151
Mailing Address - Fax:
Practice Address - Street 1:4023 SHERMAN HILLS PKWY W
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-0438
Practice Address - Country:US
Practice Address - Phone:904-803-6151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care