MEDICARE: JANET BALLANCE

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
1	253Z00000X	In Home Supportive Care Agency		FL

General Provider Information

NPI Number	:	1215891502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET BALLANCE

Provider Business Mailing Address
First Line	:	820 NE LAKE DR
Second Line	:
City	:	LAKE CITY
State	:	FL
Zip	:	32055-3405
Country	:	US
Telephone Number	:	386-365-8735
Fax Number	:

Provider Business Practice Location Address
First Line	:	820 NE LAKE DR
Second Line	:
City	:	LAKE CITY
State	:	FL
Zip	:	32055-3405
Country	:	US
Telephone Number	:	386-365-8735
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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Directions to “ JANET BALLANCE ” Practice Location

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