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Organization
SENIOR PREMIUM HOME CARE, LLC
Active
Organization
SENIOR PREMIUM HOME CARE, LLC
Active
Other names
Visiting Angels of Pensacola & Gulf Breeze
Organization subpart
No
Provider details
NPI number
Authorized official
JANET B SWAN (OWNER/DIRECTOR)
(850) 377-2702
Entity
Organization
Contact information
Practice address
1550 CREIGHTON RD STE 8, PENSACOLA, FL 32504-9401
(850) 377-2702
(850) 435-4317
Mailing address
1550 CREIGHTON RD STE 8, PENSACOLA, FL 32504-9401
(850) 377-2702
(850) 435-4317
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299994790
HOME HEALTH AGENCY - NON MEDICAL
FL
Enumeration date
11/10/2017
Last updated
01/22/2019
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