Provider Demographics
NPI:1821706839
Name:POOLE, DJUNA (HOMEMAKER/COMPANION)
Entity Type:Individual
Prefix:
First Name:DJUNA
Middle Name:
Last Name:POOLE
Suffix:
Gender:F
Credentials:HOMEMAKER/COMPANION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13592 N US HIGHWAY 27
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34482-1030
Mailing Address - Country:US
Mailing Address - Phone:352-362-8281
Mailing Address - Fax:
Practice Address - Street 1:13592 N US HIGHWAY 27
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34482-1030
Practice Address - Country:US
Practice Address - Phone:352-362-8281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL238963376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker