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Ms. Jacqueline Gale Mcgordon
Adult Care Home Facility in Lakeland, Florida
NPI 1063720787

Jacqueline Gale Mcgordon is an Adult Care Home Facility based in Lakeland, FL and is specialized in Adult Care Home. Jacqueline Gale Mcgordon practices in Lakeland, FL. The NPI Number for Jacqueline Gale Mcgordon is 1063720787 and holds a License No. 6906490 (Florida).

The current practice location address for Jacqueline Gale Mcgordon is 1038 N Walker Ave, Lakeland, FL and can be reached out via phone at 863-688-9776 and via fax at 863-688-9776.

Location: 1038 N Walker Ave, Lakeland, FL, 33805-4226
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063720787
Provider Name
Jacqueline Gale Mcgordon
Credential
Provider Entity Type
Individual
Gender
Female
Address
1038 N Walker Ave, Lakeland, FL, 33805-4226
Phone Number
863-688-9776
Fax Number
863-688-9776
Provider Enumeration Date
09/15/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1038 N Walker Ave
City
Lakeland
State
Florida
Zip
33805-4276
Phone Number
863-688-9776
Fax Number
863-688-9776
person
Provider Business Mailing Address Details
Address
1038 N Walker Ave
City
Lakeland
State
Florida
Zip
33805-4276
Phone Number
863-688-9776
Fax Number
863-688-9776
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
6906490 (Florida)
Definition
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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