Provider Demographics
NPI:1114545753
Name:JOURNEY HEALTH CARE
Entity Type:Organization
Organization Name:JOURNEY HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:J
Authorized Official - Last Name:BOWLING
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:386-244-9214
Mailing Address - Street 1:9411 OLD HASTINGS RD
Mailing Address - Street 2:
Mailing Address - City:EAST PALATKA
Mailing Address - State:FL
Mailing Address - Zip Code:32131-4410
Mailing Address - Country:US
Mailing Address - Phone:386-244-9214
Mailing Address - Fax:888-728-0048
Practice Address - Street 1:9411 OLD HASTINGS RD
Practice Address - Street 2:
Practice Address - City:EAST PALATKA
Practice Address - State:FL
Practice Address - Zip Code:32131-4410
Practice Address - Country:US
Practice Address - Phone:386-244-9214
Practice Address - Fax:888-728-0048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-09
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health