Omni Home Health - District 2, LLC
Home Health in Tallahassee, FL. Organization (NPI-2).
NPI number1891024097
StatusActive
Last updated in NPPESApr 25, 2024
Details
- NPI
- 1891024097
- Entity type
- Organization (NPI-2)
- Legal business name
- Omni Home Health - District 2, LLC
- Organization subpart
- No
- Enumeration date
- Dec 17, 2009
- Certification date
- Apr 25, 2024
- Last updated
- Apr 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | 299993723 | FL | Yes |
Other names
- Suncrest Omni (Doing Business As)
Practice location
4004 Norton Ln Ste 103Tallahassee, FL 32308-5973
Phone 850-222-5552 · Fax 850-222-5556
Mailing address
Po Box 51266Lafayette, LA 70505-1266
Phone 337-233-1307 · Fax 337-443-4154
Authorized official
Joshua L Proffitt
President
3372331307
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