Organization
GENTLE LOVE AND CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATIA LUMPKIN (ADMINISTRATOR)
(386) 292-6563
Entity
Organization
Contact information
Practice address
1150 US HIGHWAY 41 NW STE 11, JASPER, FL 32052-5889
(386) 292-6563
(866) 462-5823
Mailing address
PO BOX 1782, JASPER, FL 32052-1782
(386) 292-6563
(866) 462-5823
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104030300
—
FL
Enumeration date
08/30/2021
Last updated
08/30/2021
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