# DERRICKS PLACE

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

## Provider details

- **NPI number:** 1144139593
- **Authorized official:** MS. KENDERRICKA PRUITT (OWNER)
- **Authorized official phone:** (850) 518-8080

## Contact information

- **Practice address:** 523 LINCOLN ST, QUINCY, FL 32351-3623
- **Practice address phone:** (850) 518-8080
- **Mailing address:** 523 LINCOLN ST, QUINCY, FL 32351-3623
- **Mailing address phone:** (850) 518-8080

## Taxonomy

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

## Other

- **Enumeration date:** 09/02/2026
- **Last updated:** 09/02/2026
