Carolyn Wray Baldwin
Individual provider Active NPI In Home Supportive Care Agency · Cottondale, FL
NPI 1801326004 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1801326004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 4473 Jackson Rd
Cottondale, FL 32431-6525 - Phone
- (850) 272-2601
- NPI assigned
- Jun 19, 2017
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
4473 Jackson Rd
Cottondale, FL 32431-6525
Mailing address
4473 Jackson Rd
Cottondale, FL 32431-6525
Phone (850) 272-2601
Other providers in Cottondale, FL
All providers in Cottondale, FL · In Home Supportive Care Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.