Individual
FALONNA JUANITA BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
294 DICKSON ST, KISSIMMEE, FL 34744-3570
(321) 682-1997
Mailing address
294 DICKSON ST, KISSIMMEE, FL 34744-3570
(321) 682-1997
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
22002531029448270
FL
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
22002531029448270
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/16/2025
Last updated
02/10/2026
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