Organization Name: | GWENDOLYN MARTIN |
NPI Number: | 1578912705 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GWENDOLYN MARTIN (OWNER) |
Mailing Address: | 3402 N Lee Street Jacksonville |
State: | FL US |
Postal Code: | 32209 |
Phone Number: | 9045372846 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2016 |
NPI Last Update Date: | 06/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 374U00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Home Health Aide |
Taxonomy Specialization: | |
Taxonomy Definition: | A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |