Individual
CHELSEA GLADYS KENDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 SE 49TH DR, GAINESVILLE, FL 32641-1921
(352) 283-1638
Mailing address
PO BOX 5193, GAINESVILLE, FL 32627-5193
(352) 226-9496
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
FL
347C00000X
Private Vehicle
—
FL
372600000X
Adult Companion
Primary
—
FL
374U00000X
Home Health Aide
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12345678
—
FL
Enumeration date
04/14/2017
Last updated
08/16/2021
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