Individual
LAVETTE DENISE GULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 S MAGNOLIA AVE # 3D, OCALA, FL 34471-1178
(352) 348-3509
(800) 372-7015
Mailing address
15 FIR TRAIL CRSE, OCALA, FL 34472-4220
(352) 348-3509
(800) 372-7015
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
251E00000X
Home Health Agency
—
—
372500000X
Chore Provider
231201
FL
372600000X
Adult Companion
231201
FL
374U00000X
Home Health Aide
8672
FL
376J00000X
Homemaker
231201
FL
376K00000X
Nurse's Aide
Primary
110702
FL
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005659
—
FL
05
—
000565900
—
FL
05
—
000565901
—
FL
Enumeration date
07/13/2010
Last updated
12/12/2022
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