Jessica Hilda Terrell
Respite Care, Respite Care, Physical Disabilities, Child in Reddick, FL. Individual provider (NPI-1).
NPI number1093361990
StatusActive
Last updated in NPPESAug 15, 2019
Details
- NPI
- 1093361990
- Entity type
- Individual (NPI-1)
- Name
- Jessica Hilda Terrell
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 15, 2019
- Last updated
- Aug 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 385HR2065X | Respite Care, Respite Care, Physical Disabilities, Child | 235893 | FL | Yes |
Practice location
11600 Nw 140th PlReddick, FL 32686
Phone 352-622-7038
Mailing address
Po Box 412Lowell, FL 32663-0412
Phone 352-622-7038
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