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Kemisha Latoya Mathis
Nursing Home Administrator in Jacksonville, Florida
NPI 1073147914

Kemisha Latoya Mathis is a Nursing Home Administrator based in Jacksonville, FL. Kemisha Latoya Mathis practices in Jacksonville, FL. The NPI Number for Kemisha Latoya Mathis is 1073147914 and holds a License No. 238188 (Florida).

The current practice location address for Kemisha Latoya Mathis is 2279 W 2Nd St, Jacksonville, FL and can be reached out via phone at 850-851-6363. You can also correspond with Kemisha Latoya Mathis through the mailing address at 2279 W 2ND ST, JACKSONVILLE, FL - 32209-6906 (mailing address contact number: 850-851-6363).

Location: 2279 W 2Nd St, Jacksonville, FL, 32209-6906
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073147914
Provider Name
Kemisha Latoya Mathis
Credential
Provider Entity Type
Individual
Gender
Female
Address
2279 W 2Nd St, Jacksonville, FL, 32209-6906
Phone Number
850-851-6363
Fax Number
Provider Enumeration Date
03/01/2020
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
47-4268046 05 FL
institution
Provider Business Practice Location Address Details
Address
2279 W 2Nd St
City
Jacksonville
State
Florida
Zip
32209-6906
Phone Number
850-851-6363
Fax Number
person
Provider Business Mailing Address Details
Address
2279 W 2Nd St
City
Jacksonville
State
Florida
Zip
32209-6906
Phone Number
850-851-6363
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Nursing Home Administrator
Speciality
-
Taxonomy
376G00000X
License No.
()
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
238188 (Florida)
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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