Individual provider · Type 1 NPI

Edward Gordon Jr.

Attendant Care Provider · Tallahassee, FL

NPI number 1386278596 Active

Practice location

2472 Chateau Ln
Tallahassee, FL 32311-5604

Call (850) 896-4709 Map

Mailing address

115 S Pinetree Blvd Apt 1205, Bldg 12
Thomasville, GA 31792-7175

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider Primary 3747A0650XNone listed

Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

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About NPI 1386278596

Edward Gordon Jr.'s National Provider Identifier is 1386278596, issued on Feb 26, 2020. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Tallahassee, FL. The record was last updated on Feb 26, 2020.