Provider Demographics
NPI:1912451758
Name:NORTH FLORIDA CARE SERVICES
Entity Type:Organization
Organization Name:NORTH FLORIDA CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FELICITY
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-413-2300
Mailing Address - Street 1:PO BOX 65116
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32065-0002
Mailing Address - Country:US
Mailing Address - Phone:904-413-2300
Mailing Address - Fax:904-212-2509
Practice Address - Street 1:2642 ROSSELLE ST
Practice Address - Street 2:SUITE 16
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32204-3020
Practice Address - Country:US
Practice Address - Phone:904-413-2300
Practice Address - Fax:904-212-2509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-10
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care