Individual
BRANDI THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
2741 BARDSWOOD LN, TALLAHASSEE, FL 32305-8902
(850) 766-8095
Mailing address
2741 BARDSWOOD LN, TALLAHASSEE, FL 32305-8902
(850) 766-8095
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
64658862
—
3747P1801X
Personal Care Attendant
64658862
—
374U00000X
Home Health Aide
64658862
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104625600
—
FL
Enumeration date
05/01/2017
Last updated
01/30/2020
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