# HOME CENTERED CNA CARE INC

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

## Provider details

- **NPI number:** 1639869019
- **Authorized official:** MARY ANN CRUMLISH PA (PRESIDENT)
- **Authorized official phone:** (850) 438-1122

## Contact information

- **Practice address:** 1517 W GARDEN ST, PENSACOLA, FL 32502-4508
- **Practice address phone:** (850) 438-1122
- **Practice address fax:** (850) 438-1414
- **Mailing address:** 1517 W GARDEN ST, PENSACOLA, FL 32502-4508
- **Mailing address phone:** (850) 438-1122
- **Mailing address fax:** (850) 438-1414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 05/10/2023
- **Last updated:** 05/10/2023