Individual provider · Type 1 NPI

Abbey-Gale Samantha Harper

Adult Care Home Facility · Jacksonville, FL

NPI number 1508222779 Active

Practice location

15751 Twin Creek Dr
Jacksonville, FL 32218-8337

Fax (904) 513-3797

Specialties and licenses

TaxonomyCodeLicense
Adult Companion 372600000X234224 (FL)
Homemaker 376J00000X234224 (FL)
Adult Care Home Facility Primary 311ZA0620X6906860 (FL)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1508222779

Abbey-Gale Samantha Harper's National Provider Identifier is 1508222779, issued on Jan 4, 2016. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 2, 2017.