# EXPRESS PENSACOLA HHA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Champion Home Health Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376893891
- **Authorized official:** MR. ANTHONY A KALISHMAN (VP)
- **Authorized official phone:** (352) 328-1607

## Contact information

- **Practice address:** 910 AIRPORT RD, SUITE A1, DESTIN, FL 32541-2805
- **Practice address phone:** (850) 460-2108
- **Practice address fax:** (850) 460-2106
- **Mailing address:** 910 AIRPORT RD, SUITE A1, DESTIN, FL 32541-2805
- **Mailing address phone:** (850) 460-2108
- **Mailing address fax:** (850) 460-2106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 299994035 | FL | Yes |

## Other

- **Enumeration date:** 09/12/2012
- **Last updated:** 09/12/2012