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Organization
NORTH OKALOOSA HOME HEALTH, LLC
Active
Organization
NORTH OKALOOSA HOME HEALTH, LLC
Active
Other names
Gulf Coast Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L. PROFFITT (TREASURER)
(337) 233-1307
Entity
Organization
Contact information
Practice address
2207 S FERDON BLVD, CRESTVIEW, FL 32536-8458
(850) 682-9244
(850) 682-6816
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
22018096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
651140600
—
FL
01
—
HF1
BCBS PROVIDER NUMBER
FL
Enumeration date
05/09/2006
Last updated
06/20/2019
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