Organization
HOMEREACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA BRAUN RN (ADMINISTRATOR)
(772) 878-3534
Entity
Organization
Contact information
Practice address
8000 S US HWY 1, SUITE 200, PORT ST LUCIE, FL 34952
(772) 878-3534
(772) 878-3303
Mailing address
8000 S US HWY 1, SUITE 200, PORT ST LUCIE, FL 34952
(772) 878-3534
(772) 878-3303
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007292100
—
FL
Enumeration date
08/05/2011
Last updated
06/02/2016
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