Organization
SENIOR HELPER AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA J GILL (OWNER)
(813) 479-5052
Entity
Organization
Contact information
Practice address
10895 CORAL SHORES DR UNIT 310 BLDG 7, JACKSONVILLE, FL 32256-2126
(813) 479-5052
Mailing address
10895 CORAL SHORES DR UNIT 310 BLDG 7, JACKSONVILLE, FL 32256-2126
(813) 479-5052
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116049100
—
FL
05
—
117611600
—
FL
Enumeration date
09/02/2022
Last updated
04/26/2024
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