Organization · NPI-2

Conrad Healthcare LLC

Home Health · Port Charlotte, FL

NPI number1194128934
StatusActive
Last updated in NPPESMar 3, 2015

Details

NPI
1194128934
Entity type
Organization (NPI-2)
Legal business name
Conrad Healthcare LLC
Organization subpart
No
Enumeration date
Oct 8, 2014
Last updated
Mar 3, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes

Other names

  • Interim Healthcare Of Charlotte County (Doing Business As)

Practice location

3390 Tamiami Trl
Suite 203
Port Charlotte, FL 33952-8157

Phone 941-787-5619 · Fax 941-787-5618

Mailing address

3390 Tamiami Trl
Suite 203
Port Charlotte, FL 33952-8157

Phone 941-787-5619 · Fax 941-787-5618

Authorized official

Charles Conrad
President
2392926754

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