# PARK HOME HEALTHCARE,LLC

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

## Provider details

- **NPI number:** 1205066438
- **Authorized official:** MR. KIRIT S DESAI (MANAGING MEMBER)
- **Authorized official phone:** (727) 409-7430

## Contact information

- **Practice address:** 5000 PARK ST N, SUITE 1154, SAINT PETERSBURG, FL 33709-2221
- **Practice address phone:** (727) 409-7430
- **Practice address fax:** (727) 544-5441
- **Mailing address:** 5000 PARK ST N, SUITE 1154, SAINT PETERSBURG, FL 33709-2221
- **Mailing address phone:** (727) 409-7430
- **Mailing address fax:** (727) 544-5441

## Taxonomy

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

## Other

- **Enumeration date:** 07/22/2009
- **Last updated:** 07/22/2009