Individual
MRS. PATRICIA GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10181 SE WILLIAMS ST, HOBE SOUND, FL 33455-4820
(772) 260-2704
Mailing address
10181 SE WILLIAMS ST, HOBE SOUND, FL 33455-4820
(772) 260-2704
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
686545396
FL
372600000X
Adult Companion
Primary
686545396
FL
376K00000X
Nurse's Aide
686545398
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
686545301
—
FL
05
—
686545396
—
FL
05
—
686545398
—
FL
Enumeration date
07/08/2015
Last updated
07/08/2015
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