Godwin, Pamela

Godwin, Pamela is an sole proprietor health care provider with primary practice located at 4511 Jackson St # 4511 , Marianna FL 32448-4718. She recently has 3 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Nurse's Aide, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Nursing Service Related Providers / Nurse's Aide is her primary health care specialty. Godwin, Pamela can be contacted via phone (850) 557-6783.

Contact Information

Primary practice address
4511 Jackson St # 4511 Marianna FL 32448-4718
Phone: (850) 557-6783
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X Florida
Nursing Service Related Providers / Nurse's Aide 376K00000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X
Nursing Service Related Providers / Nurse's Aide 376K00000X Florida

Profile Details

NPI number 1114404639
LBN Legal business name Godwin, Pamela
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2018
Last updated Jul 26th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114404639 NPPES
Florida MEDICAID 721310

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