Individual
IKESHIA K HERBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
63 ORANGE BLOSSOM DR, EUSTIS, FL 32726-5075
(689) 677-0870
Mailing address
63 ORANGE BLOSSOM DR, EUSTIS, FL 32726-5075
(689) 677-0870
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
10/02/2020
Last updated
02/13/2023
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