# GULF COAST NURSE REGISTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Value Care at Home Tampa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700209343
- **Authorized official:** MS. CAROLYN CANN (OWNER)
- **Authorized official phone:** (813) 514-2600

## Contact information

- **Practice address:** 1753 W FLETCHER AVE, TAMPA, FL 33612-1820
- **Practice address phone:** (813) 514-2600
- **Practice address fax:** (813) 514-2500
- **Mailing address:** 1753 W FLETCHER AVE, TAMPA, FL 33612-1820
- **Mailing address phone:** (813) 514-2600
- **Mailing address fax:** (813) 514-2500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 30211667 | FL | Yes |

## Other

- **Enumeration date:** 02/03/2014
- **Last updated:** 02/03/2014