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Organization
OMNI HOME HEALTH- HERNANDO, LLC
Active
Organization
OMNI HOME HEALTH- HERNANDO, LLC
Active
Other names
SunCrest OMNI
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MCFADDIN (DIRECTOR OF LICENSING/ACCREDITATION)
(615) 712-2250
Entity
Organization
Contact information
Practice address
1037 W US HIGHWAY 90, SUITE 140, LAKE CITY, FL 32055-3739
(386) 754-6671
(386) 754-8673
Mailing address
510 HOSPTIAL DRIVE, SUITE 150, MADISON, TN 37115-5036
(615) 627-9267
(615) 577-0081
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299991704
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004157002
—
FL
Enumeration date
05/27/2006
Last updated
06/13/2012
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