Provider Demographics
NPI:1104062850
Name:SINGLETON, LINDA (MEDICAID PROVIDER)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:MEDICAID PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:POST OFFICE BOX 191
Mailing Address - Street 2:
Mailing Address - City:CANTONMENT
Mailing Address - State:FL
Mailing Address - Zip Code:32533
Mailing Address - Country:US
Mailing Address - Phone:850-968-6268
Mailing Address - Fax:
Practice Address - Street 1:926 BOOKER ST.
Practice Address - Street 2:
Practice Address - City:CANTONMENT
Practice Address - State:FL
Practice Address - Zip Code:32533
Practice Address - Country:US
Practice Address - Phone:850-968-6268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-31
Last Update Date:2008-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No376J00000XNursing Service Related ProvidersHomemaker