Individual
LATREACE S COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8986 MERSEYSIDE AVE, JACKSONVILLE, FL 32219-2373
(904) 520-3255
Mailing address
8986 MERSEYSIDE AVE, JACKSONVILLE, FL 32219-2373
(904) 520-3255
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
239512
FL
372600000X
Adult Companion
239512
FL
374U00000X
Home Health Aide
239512
FL
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
04/02/2025
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