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Organization
SUNCREST HOME HEALTH OF TAMPA, LLC
Active
Organization
SUNCREST HOME HEALTH OF TAMPA, LLC
Active
Other names
SunCrest OMNI
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
311 PARK PLACE BLVD STE 120, CLEARWATER, FL 33759-4904
(727) 260-6680
(727) 441-8311
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
10/11/2019
Last updated
04/20/2021
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