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NPI Code Detail

MEDICARE: GENTLE LOVE AND CARE

MEDICARE: GENTLE LOVE AND CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1372600000XAdult Companion
2376J00000XHomemaker
3385H00000XRespite Care
4251E00000XHome Health Agency

General Provider Information

NPI Number : 1083239826
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENTLE LOVE AND CARE
Provider Business Mailing Address
First Line : PO BOX 1782
Second Line :
City : JASPER
State : FL
Zip : 32052-1782
Country : US
Telephone Number : 386-292-6563
Fax Number : 866-462-5823
Provider Business Practice Location Address
First Line : 6501 ARLINGTON EXPY STE B105
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32211-0810
Country : US
Telephone Number : 386-292-6563
Fax Number : 866-462-5823
Authorized Official
Title or Position : ADMINISTRATOR
Name : LATIA LUMPKIN
Credential :
Telephone Number : 386-292-6563
Provider Enumeration Date : 06/08/2020
Last Update Date : 06/08/2020

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1518385426 — ROYNEISHA JOHNSON LMFT
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Directions to “GENTLE LOVE AND CARE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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