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Organization

LOVE AND KINDNESS DISABLE AND ELDERLY COMPANIONSHIP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VANITA ANDREA BOWICK (SOLE OWNER)
(850) 688-5244
Entity
Organization

Contact information

Practice address
1180 W WASHINGTON ST STE C, MONTICELLO, FL 32344-1127
(850) 688-5244
Mailing address
2121 HARRISON AVE APT G7, PANAMA CITY, FL 32405-4564
(850) 688-5244

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
020363100
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020363100
FL
Enumeration date
03/10/2018
Last updated
06/11/2019
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