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Organization
NURSECORE MANAGEMENT SERVICES, LLC
Active
Organization
NURSECORE MANAGEMENT SERVICES, LLC
Active
Other names
NURSECORE OF PORT CHARLOTTE
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH LOLLAR (PRESIDENT/CEO)
(817) 649-1166
Entity
Organization
Contact information
Practice address
2811 TAMIAMI TRL STE H, PORT CHARLOTTE, FL 33952-5135
(941) 743-8878
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
207890961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
611276800
DEPARTMENT OF LABOR
FL
05
—
682863905
—
FL
01
—
JF9
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/20/2006
Last updated
04/19/2022
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