# HODGES CONVALESCENT AIDS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OSCEOLA HOME CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285631804
- **Authorized official:** MR. GERALD T CAPAK R.PH (PRESIDENT)
- **Authorized official phone:** (772) 567-5297

## Contact information

- **Practice address:** 405 S 7TH ST, FORT PIERCE, FL 34950-8322
- **Practice address phone:** (772) 464-4362
- **Practice address fax:** (770) 464-4382
- **Mailing address:** 405 S 7TH ST, FORT PIERCE, FL 34950-8322
- **Mailing address phone:** (772) 464-4362
- **Mailing address fax:** (770) 464-4382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 150591 | FL | Yes |

## Other

- **Enumeration date:** 06/29/2005
- **Last updated:** 08/22/2020