IndividualActive
Keon Wooten
NPI 1114513835 · In Home Supportive Care Agency · Orange Park, FL
Provider details
- NPI number
- 1114513835
- Entity type
- Individual
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
779 Turkey Point Dr
Orange Park, FL 32065-2596
Phone: (904) 402-3398
Approximate (ZIP-level) locationGet directions
Mailing address
779 Turkey Point Dr
Orange Park, FL 32065-2596
Registry dates
- Enumerated
- 2020-12-16
- Last updated
- 2020-12-16
- Certified
- 2020-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.