Individual
DONIA HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 N BLOXHAM AVE, TAVARES, FL 32778-3105
(352) 702-6805
Mailing address
203 N BLOXHAM AVE, TAVARES, FL 32778-3105
(352) 702-6805
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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