Time Out Respite Care, INC.
Non-emergency Medical Transport (VAN) in Port Charlotte, FL. Organization (NPI-2).
NPI number1265735179
StatusActive
Last updated in NPPESDec 15, 2010
Details
- NPI
- 1265735179
- Entity type
- Organization (NPI-2)
- Legal business name
- Time Out Respite Care, INC.
- Organization subpart
- No
- Enumeration date
- Dec 15, 2010
- Last updated
- Dec 15, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | 089079 | FL | Yes |
| 251C00000X | Day Training, Developmentally Disabled Services | 089079 | FL | |
| 253Z00000X | In Home Supportive Care | 089079 | FL | |
| 385HR2065X | Respite Care, Respite Care, Physical Disabilities, Child | 089079 | FL |
Practice location
24246 Harborview RdPort Charlotte, FL 33980-2232
Phone 941-743-3883 · Fax 941-743-4369
Mailing address
24246 Harborview RdPort Charlotte, FL 33980-2232
Phone 941-743-3883 · Fax 941-743-4369
Authorized official
Sharon Christina Hartzell
Administrator
9417433883
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