Provider Demographics
NPI:1578030136
Name:ESTELLA BENN GILCHRIST HOME HEALTH CARE
Entity Type:Organization
Organization Name:ESTELLA BENN GILCHRIST HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER
Authorized Official - Prefix:MS
Authorized Official - First Name:ESTELLA
Authorized Official - Middle Name:BENN
Authorized Official - Last Name:GILCHRIST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-866-3792
Mailing Address - Street 1:5175 N MAIN ST APT 314
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32208-5370
Mailing Address - Country:US
Mailing Address - Phone:904-866-3792
Mailing Address - Fax:
Practice Address - Street 1:5175 N MAIN ST APT 314
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32208-5370
Practice Address - Country:US
Practice Address - Phone:904-866-3792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-31
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health