Organization · NPI-2
North Okaloosa Home Health, LLC
Home Health · Crestview, FL
NPI number1376592022
StatusActive
Last updated in NPPESJun 20, 2019
Details
- NPI
- 1376592022
- Entity type
- Organization (NPI-2)
- Legal business name
- North Okaloosa Home Health, LLC
- Organization subpart
- No
- Enumeration date
- May 9, 2006
- Last updated
- Jun 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | 22018096 | FL | Yes |
Other names
- Gulf Coast Home Health (Doing Business As)
Practice location
2207 S Ferdon BlvdCrestview, FL 32536-8458
Phone 850-682-9244 · Fax 850-682-6816
Mailing address
Po Box 51266Lafayette, LA 70505-1266
Phone 337-233-1307 · Fax 337-233-5764
Authorized official
Joshua L. Proffitt
Treasurer
3372331307
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