Organization
CLEAN COOKIE
Active
Other names
GENTLE HELPERS
Organization subpart
No
Provider details
NPI number
Authorized official
TIA KETTER (RN)
(727) 225-6286
Entity
Organization
Contact information
Practice address
6518 STONE RD, PORT RICHEY, FL 34668-4860
(727) 225-6286
Mailing address
6518 STONE RD, PORT RICHEY, FL 34668-4860
(727) 225-6286
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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