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Organization
NURSECORE MANAGEMENT SERVICES LLC
Active
Organization
NURSECORE MANAGEMENT SERVICES LLC
Active
Other names
NURSECORE OF ST PETERSBURG
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH LOLLAR (PRESIDENT/CEO)
(817) 649-1166
Entity
Organization
Contact information
Practice address
1919 TYRONE BLVD N, ST PETERSBURG, FL 33710-4841
(727) 345-7009
(727) 345-6393
Mailing address
PO BOX 201925, ARLINGTON, TX 76006-1925
(817) 649-1166
(817) 649-2638
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
20790095
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115054200
—
FL
01
—
H0W
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/25/2006
Last updated
03/13/2023
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