Organization
LONNOLLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRISCILLA 10 AKINS (ADMINISTRATIVE ASSISTANT)
(904) 275-4258
Entity
Organization
Contact information
Practice address
4495 S COUNTY ROAD 229, GLEN ST MARY, FL 32040-5535
(904) 275-4258
Mailing address
4495 S COUNTY ROAD 229, GLEN ST MARY, FL 32040-5535
(904) 275-4258
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006121500
—
FL
Enumeration date
01/27/2014
Last updated
01/27/2014
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