Individual
CAROL JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4530 SW OSCAR CT, PORT ST LUCIE, FL 34953-7565
(772) 494-1433
Mailing address
4530 SW OSCAR CT, PORT ST LUCIE, FL 34953-7565
(772) 494-1433
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-0616353
—
FL
Enumeration date
05/09/2019
Last updated
05/09/2019
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