Individual
KALEAH SHANTIL GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
560 MCNEAL DR, DELTONA, FL 32725-8453
(321) 216-7352
Mailing address
560 MCNEAL DR, DELTONA, FL 32725-8453
(321) 216-7352
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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