# COMPLETE HOME CARE - PRIVATE DUTY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Complete Home Care - Private Duty
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568239812
- **Authorized official:** MR. JONATHAN FUNSTON (SECRETARY)
- **Authorized official phone:** (706) 877-0838

## Contact information

- **Practice address:** 3181 N BAY VILLAGE CT STE A-201, BONITA SPRINGS, FL 34135-7222
- **Practice address phone:** (941) 867-7581
- **Practice address fax:** (941) 867-8751
- **Mailing address:** 5601 EXECUTIVE DR STE 250, IRVING, TX 75038-2508
- **Mailing address phone:** (972) 677-3471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/07/2023
- **Last updated:** 04/29/2025
