Individual provider · Type 1 NPI

Pamela Kellam Green

Home Health Agency · Jacksonville, FL

NPI number 1730716648 Active

Practice location

6986 Jack Horner Ln
Jacksonville, FL 32210-3620

Call (904) 710-9662 Map

Fax (904) 586-2473

Mailing address

4575 St. Johns Avenue, Suite # 4
Jacksonville, FL 32210

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	688784896 (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 1730716648

Pamela Kellam Green's National Provider Identifier is 1730716648, issued on Mar 23, 2020. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 23, 2020.