Individual
GUILENE MICHEL JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 POPLAR TRL, OCALA, FL 34480-9476
(352) 533-8364
Mailing address
17 POPLAR TRL, OCALA, FL 34480-9476
(352) 533-8364
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
611658690
—
FL
Enumeration date
09/25/2011
Last updated
09/25/2011
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