Atoya Cierra Anderson

Individual provider Active NPI Home Health Agency · Jacksonville, FL

NPI 1366093445 · NPPES record last updated Sep 20, 2019

Key facts

NPI
1366093445
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Agency 251E00000X
Practice address
2816 Taylor Hill Dr
Jacksonville, FL 32221-2885
Phone
(904) 609-7623
NPI assigned
Sep 20, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

2816 Taylor Hill Dr
Jacksonville, FL 32221-2885

Mailing address

2816 Taylor Hill Dr
Jacksonville, FL 32221-2885
Phone (904) 609-7623

Other providers in Jacksonville, FL

All providers in Jacksonville, FL · Home Health Agency in Florida

Sources for this page

Verify at the official NPI Registry.