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Organization
LATRELL D GASKIN
Active
Organization
LATRELL D GASKIN
Active
Other names
Latrell's Heavenly Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
LATRELL DELORES GASKIN (OWNER)
(904) 731-6109
Entity
Organization
Contact information
Practice address
3664 BRENTWOOD BLVD, JACKSONVILLE, FL 32206-1869
(904) 731-6109
(904) 250-5902
Mailing address
3664 BRENTWOOD BLVD, JACKSONVILLE, FL 32206-1869
(904) 731-6109
(904) 250-5902
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/11/2021
Last updated
04/27/2026
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