Charles Edward Haynes Sr.
In Home Supportive Care in Orlando, FL. Individual provider (NPI-1).
NPI number1205453065
StatusActive
Last updated in NPPESJun 30, 2023
Details
- NPI
- 1205453065
- Entity type
- Individual (NPI-1)
- Name
- Mr. Charles Edward Haynes Sr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 28, 2020
- Certification date
- Jun 30, 2023
- Last updated
- Jun 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
226 Greens End StOrlando, FL 32810-6227
Phone 321-460-0960
Mailing address
226 Greens End StOrlando, FL 32810-6227
Phone 321-460-0960
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