Robert Jarvis
Homemaker in Port Charlotte, FL. Individual provider (NPI-1).
NPI number1497342406
StatusActive
Last updated in NPPESDec 23, 2020
Details
- NPI
- 1497342406
- Entity type
- Individual (NPI-1)
- Name
- Robert Jarvis
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 23, 2020
- Certification date
- Dec 23, 2020
- Last updated
- Dec 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – |
Practice location
18203 Brazil AvePort Charlotte, FL 33948-8854
Phone 330-608-6369
Mailing address
18203 Brazil AvePort Charlotte, FL 33948-8854
Phone 330-608-6369
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