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Organization

HOME HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUNA NELSON C.N.A (CERTIFIED NURSING ASSISTANT)
(941) 527-9568
Entity
Organization

Contact information

Practice address
2602 RIVER PRESERVE CT, BRADENTON, FL 34208-7465
(941) 527-9568
Mailing address
2602 RIVER PRESERVE CT, BRADENTON, FL 34208-7465
(941) 527-9568

Taxonomy

Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
CNA 113079
FL

Other

Enumeration date
03/25/2014
Last updated
03/25/2014
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