Caresource Direct LLC
Home Health in Largo, FL. Organization (NPI-2).
NPI number1881908473
StatusActive
Last updated in NPPESAug 5, 2010
Details
- NPI
- 1881908473
- Entity type
- Organization (NPI-2)
- Legal business name
- Caresource Direct LLC
- Organization subpart
- No
- Enumeration date
- Aug 5, 2010
- Last updated
- Aug 5, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
801 W Bay DrSuite 409
Largo, FL 33770-3269
Phone 727-688-9074
Mailing address
801 W Bay DrSuite 409
Largo, FL 33770-3269
Phone 727-688-9074
Authorized official
Peter Ignacio
Cfo
7276889074
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