Individual
CANDACE COOK-BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4134 WORLINGTON TER, FORT PIERCE, FL 34947-1335
(772) 333-7866
Mailing address
4134 WORLINGTON TER, FORT PIERCE, FL 34947-1335
(772) 333-7866
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
008185300
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008185300
—
FL
Enumeration date
04/30/2014
Last updated
04/30/2014
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