Rondell Gordon
Home Health in Jacksonville, FL. Individual provider (NPI-1).
NPI number1164078739
StatusActive
Last updated in NPPESAug 15, 2019
Details
- NPI
- 1164078739
- Entity type
- Individual (NPI-1)
- Name
- Rondell Gordon
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 10, 2019
- Last updated
- Aug 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | FL | Yes |
| 372600000X | Adult Companion | – | FL | |
| 372500000X | Chore Provider | – | FL | |
| 374U00000X | Home Health Aide | – | FL | |
| 376J00000X | Homemaker | – | FL |
Practice location
7504 Wilder AveJacksonville, FL 32208-4272
Phone 904-525-4296 · Fax 606-769-1459
Mailing address
7504 Wilder AveJacksonville, FL 32208-4272
Phone 904-525-4296 · Fax 606-769-1459
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All 536 Home Health Agency providers in Jacksonville · All 31,644 providers in Jacksonville
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