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Mr. Walter Jerome Jordan
Home Health Agency in St Petersburg, Florida
NPI 1447733712

Walter Jerome Jordan is a Home Health Agency based in St Petersburg, FL. Walter Jerome Jordan practices in St Petersburg, FL. The NPI Number for Walter Jerome Jordan is 1447733712 and holds a License No. 235565 (Florida).

The current practice location address for Walter Jerome Jordan is 600 40Th St N Apt 111, St Petersburg, FL and can be reached out via phone at 727-657-8392.

Location: 600 40Th St N Apt 111, St Petersburg, FL, 33713-6339
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447733712
Provider Name
Walter Jerome Jordan
Credential
Provider Entity Type
Individual
Gender
Male
Address
600 40Th St N Apt 111, St Petersburg, FL, 33713-6339
Phone Number
727-657-8392
Fax Number
Provider Enumeration Date
09/12/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
235565 01 FL AGENCY FOR HEALTH CARE ADMINISTRATION
institution
Provider Business Practice Location Address Details
Address
600 40Th St N Apt 111
City
St Petersburg
State
Florida
Zip
33713-6339
Phone Number
727-657-8392
Fax Number
person
Provider Business Mailing Address Details
Address
600 40Th St N Apt 111
City
St Petersburg
State
Florida
Zip
33713-6339
Phone Number
727-657-8392
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
235565 (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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