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Organization
A-1 COMMUNITY CHOICE
Active
Organization
A-1 COMMUNITY CHOICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH SHOCKLEE (OWNER)
(321) 269-8563
Entity
Organization
Contact information
Practice address
350 N WASHINGTON AVE, SUITE B, TITUSVILLE, FL 32796-5806
(321) 269-8563
Mailing address
350 N WASHINGTON AVE, SUITE B, TITUSVILLE, FL 32796-5806
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
Other
Enumeration date
09/28/2007
Last updated
10/31/2014
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