Individual
MRS. MAXINE WILSON SWEET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
226 BURKE RD, QUINCY, FL 32351-4924
(850) 533-2197
Mailing address
226 BURKE RD, QUINCY, FL 32351-4924
(850) 533-2197
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
233280
FL
376J00000X
Homemaker
233280
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
233280
HOMEMAKER AND COMPANIONSHIP SERVICES
FL
Enumeration date
09/20/2013
Last updated
09/20/2013
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