# SUZIE Q'S HOME CARE, LLC

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

## Provider details

- **NPI number:** 1528771094
- **Authorized official:** MS. SUZETTE BROCKINGTON (OWNER/ CEO)
- **Authorized official phone:** (813) 562-4565

## Contact information

- **Practice address:** 1211 TECH BLVD STE 165, TAMPA, FL 33619-7846
- **Practice address phone:** (813) 294-7623
- **Mailing address:** 321 BENSON ST, VALRICO, FL 33594-3014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 12/29/2022
- **Last updated:** 12/29/2022