# KUKU 4 COCO BEACH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SYNERGY HOMECARE OF PANAMA CITY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811673189
- **Authorized official:** MR. KURT BOWMAN (OWNER)
- **Authorized official phone:** (850) 661-0362

## Contact information

- **Practice address:** 97 W OAK AVE, PANAMA CITY, FL 32401-2735
- **Practice address phone:** (850) 661-0362
- **Mailing address:** 5153 HOLLY FERN TRCE, TALLAHASSEE, FL 32312-7583
- **Mailing address phone:** (850) 251-2718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/22/2023
- **Last updated:** 06/22/2023