LATRELL'S HEAVENLY HOME CARE is a home health in Jacksonville, FL. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. LATRELL'S HEAVENLY HOME CARE NPI is 1386313419. The provider is registered as an organization entity type.
The provider's business location address is:
3664 BRENTWOOD BLVD
JACKSONVILLE, FL
ZIP 32206-869
Phone: (904) 731-6109
Fax: (904) 250-5902
The provider's authorized official is Latrell Delores Gaskin .
The authorized official title is Owner and has the following contact phone number (904) 731-6109.
The enumeration date for this NPI number is 9/11/2021 and was last updated on 9/11/2021.