Forde, Stephanie R
Forde, Stephanie R is an sole proprietor health care provider with primary practice located at 12379 Glimmer Way , Jacksonville FL 32219-1867. She recently has 3 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Forde, Stephanie R can be contacted via phone (904) 314-7411.Contact Information
Primary practice address
12379 Glimmer Way
Jacksonville FL 32219-1867
Phone: (904) 314-7411
Fax: (904) 751-2200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X | ||
| Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities | 385HR2060X | ||
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X |
Profile Details
| NPI number | 1831759141 |
|---|---|
| LBN Legal business name | Forde, Stephanie R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2019 |
| Last updated | Nov 27th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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