Motisha King

Individual provider Active NPI In Home Supportive Care Agency · Monticello, FL

NPI 1093427635 · NPPES record last updated Dec 14, 2022

Key facts

NPI
1093427635
Entity type
Individual (NPI type 1)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Practice address
705 S Railroad St
Monticello, FL 32344-2433
Phone
(850) 694-6074
NPI assigned
Dec 14, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

705 S Railroad St
Monticello, FL 32344-2433

Mailing address

705 S Railroad St
Monticello, FL 32344-2433
Phone (850) 694-6074

Other providers in Monticello, FL

All providers in Monticello, FL · In Home Supportive Care Agency in Florida

Sources for this page

Verify at the official NPI Registry.