Individual
QUATRILYA MATHIS-HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1376 POLK AVE, DELTONA, FL 32738-6933
(407) 687-9938
Mailing address
1376 POLK AVE, DELTONA, FL 32738-6933
(407) 687-9938
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
CNA106815
FL
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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