# COMPASSIONATE SENIOR HOME HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013652601
- **Authorized official:** CORY WAKE (MANAGER)
- **Authorized official phone:** (734) 418-9027

## Contact information

- **Practice address:** 700 S KINGS AVE, BRANDON, FL 33511-5925
- **Practice address phone:** (734) 418-9027
- **Mailing address:** 920 S RIVERWOOD DR, WABASH, IN 46992-9787
- **Mailing address phone:** (734) 418-9027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/28/2022
- **Last updated:** 04/28/2022