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General NPI Number Information
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NPI Number | 1295101145
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Entity Type | Individual
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Provider Name | ARLEASE WILLIS
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Gender | Female
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Dates
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Enumeration Date | 08/14/2015
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Last Update Date | 09/28/2025
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Provider Practice Location Address
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Address Line | 7529 SHERWOOD ST
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City | JACKSONVILLE
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State | FL
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Zip | 32208-4011
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Country | US
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Telephone | 904-517-3216
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Fax |
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Provider Business Mailing Address
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Address Line | 9833 TIVOLI CHASE DR
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City | ORLANDO
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State | FL
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Zip | 32829-8233
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Country | US
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Telephone | 904-517-3216
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Fax | 689-400-1290
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 286809
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License Number State | FL
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