Individual provider · Type 1 NPI

Ivory Russ

Home Health Agency · St. Augustine, FL

NPI number 1255042826 Active

Practice location

300 Summer Breeze Way Apt 1106
St. Augustine, FL 32086-1804

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	31101007 (FL)

Home Health Agency: 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 organ…

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About NPI 1255042826

Ivory Russ's National Provider Identifier is 1255042826, issued on Dec 5, 2022. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in St. Augustine, FL. The record was last updated on Jan 30, 2023.