# EXPRESS HHA, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Champion Home Health Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821225210
- **Authorized official:** MR. ANTHONY ALLEN KALISHMAN (VICE PRESIDENT)
- **Authorized official phone:** (352) 371-8600

## Contact information

- **Practice address:** 3911 W NEWBERRY RD, SUITE B-2, GAINESVILLE, FL 32607-4820
- **Practice address phone:** (352) 371-8600
- **Practice address fax:** (352) 338-1194
- **Mailing address:** 3911 W NEWBERRY RD, SUITE B-2, GAINESVILLE, FL 32607-4820
- **Mailing address phone:** (352) 371-8600
- **Mailing address fax:** (352) 338-1194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 299992736 | FL | Yes |

## Other

- **Enumeration date:** 06/12/2009
- **Last updated:** 06/12/2009