# CRESCENT RESPITE CARE INC

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

## Provider details

- **NPI number:** 1306302633
- **Authorized official:** MS. PREMA S SAMMY SOCIAL WORKER (DIRECTOR/OWNER)
- **Authorized official phone:** (917) 202-4899

## Contact information

- **Practice address:** 2653 OLEANDER LAKES DR, BRANDON, FL 33511-1271
- **Practice address phone:** (917) 202-4899
- **Practice address fax:** (813) 571-3310
- **Mailing address:** 2653 OLEANDER LAKES DR, BRANDON, FL 33511-1271
- **Mailing address phone:** (917) 202-4899
- **Mailing address fax:** (813) 571-3310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/12/2019
- **Last updated:** 06/11/2019