Genmar'S Home Care
Home Health in Mulberry, FL. Organization (NPI-2).
NPI number1164079943
StatusActive
Last updated in NPPESAug 26, 2019
Details
- NPI
- 1164079943
- Entity type
- Organization (NPI-2)
- Legal business name
- Genmar'S Home Care
- Organization subpart
- No
- Enumeration date
- Aug 26, 2019
- Last updated
- Aug 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
4784 Hickory Stream LnMulberry, FL 33860-7914
Phone 813-679-9469 · Fax 863-943-5201
Mailing address
4784 Hickory Stream LnMulberry, FL 33860-7914
Phone 813-679-9469 · Fax 863-943-5201
Authorized official
Maria Virgen Santaella
Lpn
8136799469
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