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Ivory Russ
Home Health Agency in St Augustine, Florida
NPI 1255042826

Ivory Russ is a Home Health Agency based in St Augustine, FL. Ivory Russ practices in St Augustine, FL. The NPI Number for Ivory Russ is 1255042826 and holds a License No. 31101007 (Florida).

The current practice location address for Ivory Russ is 300 Summer Breeze Way Apt 1106, St Augustine, FL and can be reached out via phone at 912-342-9829.

Location: 300 Summer Breeze Way Apt 1106, St Augustine, FL, 32086-1804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255042826
Provider Name
Ivory Russ
Credential
Provider Entity Type
Individual
Gender
Female
Address
300 Summer Breeze Way Apt 1106, St Augustine, FL, 32086-1804
Phone Number
912-342-9829
Fax Number
Provider Enumeration Date
12/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 Summer Breeze Way Apt 1106
City
St Augustine
State
Florida
Zip
32086-1804
Phone Number
912-342-9829
Fax Number
person
Provider Business Mailing Address Details
Address
300 Summer Breeze Way Apt 1106
City
St Augustine
State
Florida
Zip
32086-1804
Phone Number
912-342-9829
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
31101007 (Florida)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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