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Mrs. Pamela Kellam Green
Home Health Agency in Jacksonville, Florida
NPI 1730716648

Pamela Kellam Green is a Home Health Agency based in Jacksonville, FL. Pamela Kellam Green practices in Jacksonville, FL. The NPI Number for Pamela Kellam Green is 1730716648 and holds a License No. 688784896 (Florida).

The current practice location address for Pamela Kellam Green is 6986 Jack Horner Ln, Jacksonville, FL and can be reached out via phone at 904-710-9662 and via fax at 904-586-2473.

Location: 6986 Jack Horner Ln, Jacksonville, FL, 32210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730716648
Provider Name
Pamela Kellam Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
6986 Jack Horner Ln, Jacksonville, FL, 32210
Phone Number
904-710-9662
Fax Number
904-586-2473
Provider Enumeration Date
03/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6986 Jack Horner Ln
City
Jacksonville
State
Florida
Zip
32210-3620
Phone Number
904-710-9662
Fax Number
904-586-2473
person
Provider Business Mailing Address Details
Address
6986 Jack Horner Ln
City
Jacksonville
State
Florida
Zip
32210-3620
Phone Number
904-710-9662
Fax Number
904-586-2473
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
688784896 (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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