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Organization
NIRVANA HOME HEALTH CARE, LLC
Active
Organization
NIRVANA HOME HEALTH CARE, LLC
Active
Other names
Cornerstone Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA A. RAGLAND RN (PRESIDENT)
(386) 362-8552
Entity
Organization
Contact information
Practice address
141 SAGE BRUSH TRAIL, SUITE E, ORMOND BEACH, FL 32174-8194
(386) 677-7006
(386) 677-7096
Mailing address
141 SAGE BRUSH TRAIL, SUITE E, ORMOND BEACH, FL 32174-8194
(386) 677-7006
(386) 677-7096
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299993753
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299993753
AHCA LICENSE
FL
Enumeration date
06/14/2010
Last updated
02/14/2017
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