Provider Demographics
NPI:1851001218
Name:BUTTERFLIES PURPOSE OF LIFE LLC
Entity Type:Organization
Organization Name:BUTTERFLIES PURPOSE OF LIFE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MRS.
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:904-982-1265
Mailing Address - Street 1:9998 TIMBER FALLS LN
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32219-4357
Mailing Address - Country:US
Mailing Address - Phone:904-982-1265
Mailing Address - Fax:
Practice Address - Street 1:9998 TIMBER FALLS LN
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32219-4357
Practice Address - Country:US
Practice Address - Phone:904-982-1265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty