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Organization
MEDSOUTH HOME HEALTH L.L.C.
Active
Organization
MEDSOUTH HOME HEALTH L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANNE H. WHITE (MANAGING PARTNER)
(850) 547-5549
Entity
Organization
Contact information
Practice address
201 J HARVEY ETHERIDGE ST, BONIFAY, FL 32425-2106
(850) 547-5549
(850) 547-5458
Mailing address
201 J HARVEY ETHRIDGE ST, BONIFAY, FL 32425-2106
(850) 547-5549
(850) 547-5458
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
Other
Enumeration date
07/01/2006
Last updated
08/22/2020
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