Individual
KAYARSHA D RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2679 PEAKE ST, NORTH PORT, FL 34286-3007
(941) 380-5758
Mailing address
2679 PEAKE ST, NORTH PORT, FL 34286-3007
(941) 380-5758
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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