# COLEMAN'S COMPASSIONATE CAREGIVER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891420998
- **Authorized official:** MS. KURTISHA STEWART LPN (OWNER)
- **Authorized official phone:** (321) 557-2691

## Contact information

- **Practice address:** 396 DELMONICO ST NE, PALM BAY, FL 32907-3001
- **Practice address phone:** (321) 557-2691
- **Mailing address:** 396 DELMONICO ST NE, PALM BAY, FL 32907-3001
- **Mailing address phone:** (321) 557-2691

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/21/2022
- **Last updated:** 07/25/2022