Individual
LAURONDA STAPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1405 MINNESOTA AVE # 2, LYNN HAVEN, FL 32444-3853
(404) 453-4286
Mailing address
1405 MINNESOTA AVE # 2, LYNN HAVEN, FL 32444-3853
(404) 453-4286
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
PN5240203
FL
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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