Individual
TAKAELA BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 SE 12TH ST, GAINESVILLE, FL 32641-7188
(352) 222-9826
Mailing address
505 SE 12TH ST, GAINESVILLE, FL 32641-7188
(352) 222-9826
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6907120
FL
Other
Enumeration date
07/02/2025
Last updated
07/29/2025
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