Individual
RECRETIA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1911 NW 6TH ST, GAINESVILLE, FL 32609-3529
(352) 260-5724
Mailing address
1911 NW 6TH ST, GAINESVILLE, FL 32609-3529
(352) 260-5724
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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