# ETERNITY HOME HEALTH INC

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

## Provider details

- **NPI number:** 1619538493
- **Authorized official:** MR. JAVIER A CARUNCHO (PRESIDENT)
- **Authorized official phone:** (239) 931-9352

## Contact information

- **Practice address:** 12650 WORLD PLAZA LN \# 72-2, FORT MYERS, FL 33907-4077
- **Practice address phone:** (239) 931-9352
- **Mailing address:** 12650 WORLD PLAZA LN \# 72-2, FORT MYERS, FL 33907-4077
- **Mailing address phone:** (239) 931-9352

## Taxonomy

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

## Other

- **Enumeration date:** 06/24/2019
- **Last updated:** 06/24/2019