# GULFSHORE PRIVATE HOME CARE, LLC

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

## Provider details

- **NPI number:** 1578971818
- **Authorized official:** GENNY ERNST RN (ADMINISTRATOR)
- **Authorized official phone:** (239) 249-5927

## Contact information

- **Practice address:** 660 9TH ST N, SUITE 31-B, NAPLES, FL 34102-8141
- **Practice address phone:** (239) 249-5927
- **Practice address fax:** (800) 280-2442
- **Mailing address:** 660 9TH ST N, SUITE 31-B, NAPLES, FL 34102-8141
- **Mailing address phone:** (239) 249-5927
- **Mailing address fax:** (800) 280-2442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 30211666 | FL | Yes |

## Other

- **Enumeration date:** 07/31/2014
- **Last updated:** 07/31/2014