Individual
VALORIE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 112TH AVE NE APT 627, ST PETERSBURG, FL 33716
(727) 430-0218
(727) 914-6542
Mailing address
115 112TH AVE NE APT 627, ST PETERSBURG, FL 33716-3259
(727) 430-0218
(727) 914-6542
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
FL
251S00000X
Community/Behavioral Health Agency
—
FL
253Z00000X
In Home Supportive Care Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46-4498818
—
FL
Enumeration date
03/25/2016
Last updated
09/06/2018
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