Individual
ELMON BUTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9446 WINDRIFT CIR, FORT PIERCE, FL 34945-3304
(772) 559-8771
Mailing address
9446 WINDRIFT CIR, FORT PIERCE, FL 34945-3304
(772) 559-8771
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172A00000X
Driver
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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