Individual
MISS JANETE CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6261 WAUCONDA WAY W, LAKE WORTH, FL 33463
(561) 577-0893
Mailing address
6261 WAUCONDA WAY W, LAKE WORTH, FL 33463
(561) 577-0893
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123
—
FL
Enumeration date
08/07/2021
Last updated
08/07/2021
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