Organization · NPI-2
Amedisys South Florida, LLC
Home Health · Port St Lucie, FL
NPI number1104133826
StatusActive
Last updated in NPPESSep 1, 2010
Details
- NPI
- 1104133826
- Entity type
- Organization (NPI-2)
- Legal business name
- Amedisys South Florida, LLC
- Organization subpart
- Yes
- Enumeration date
- Sep 1, 2010
- Last updated
- Sep 1, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | 299992520 | FL | Yes |
Other names
- Amedisys Home Health (Doing Business As)
Practice location
1680 Se Lyngate DrSuite 204
Port St Lucie, FL 34952-4300
Phone 772-337-5117 · Fax 772-337-6623
Mailing address
5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038
Phone 225-292-2031 · Fax 225-295-9678
Authorized official
William F Borne
President
2252922031
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