Individual
LEONIE EVADNEY BOOTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
CNA82954
FL
310400000X
Assisted Living Facility
Primary
A9211
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141080600
—
FL
Enumeration date
10/29/2012
Last updated
09/15/2022
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