Provider Demographics
NPI:1376850610
Name:JOCELYNN CORP. D/B/A COMFORT KEEPERS
Entity Type:Organization
Organization Name:JOCELYNN CORP. D/B/A COMFORT KEEPERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOCELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLT
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:352-331-7760
Mailing Address - Street 1:1035 NW 57TH ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-4483
Mailing Address - Country:US
Mailing Address - Phone:352-331-7760
Mailing Address - Fax:352-331-7761
Practice Address - Street 1:1035 NW 57TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-4483
Practice Address - Country:US
Practice Address - Phone:352-331-7760
Practice Address - Fax:352-331-7761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-08
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992787253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care