Carissa Long, Home Health
Home Health in Palm Bay, FL. Individual provider (NPI-1).
NPI number1053939751
StatusActive
Last updated in NPPESJan 14, 2021
Details
- NPI
- 1053939751
- Entity type
- Individual (NPI-1)
- Name
- Carissa Long
- Credential
- Home Health
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 9, 2020
- Certification date
- Jan 14, 2021
- Last updated
- Jan 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | FL | Yes |
Practice location
1638 Hawksbill St NwPalm Bay, FL 32907-7127
Phone 321-220-4512
Mailing address
1638 Hawksbill St NwPalm Bay, FL 32907-7127
Phone 321-220-4512
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All 24 Home Health Agency providers in Palm Bay · All 1,789 providers in Palm Bay
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