Individual
JANET GAIL EDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
424 N 8TH ST, HAINES CITY, FL 33844-4110
(863) 419-5065
Mailing address
2208 OAKLEY AVE, HAINES CITY, FL 33844-4538
(407) 376-0474
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010294900
—
FL
Enumeration date
12/29/2017
Last updated
12/29/2017
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