Organization
BOIDE'S HOME CARE AND AGENCY
Active
Parent organization
BOIDE'S ENTERPRISE LLC
Other names
Boide's Non Medical Home care
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOIDE'S ENTERPRISE LLC
Authorized official
MRS. TRACIE L BOIDE (DIRECTOR OF OP AND OWNER)
(856) 369-5726
Entity
Organization
Contact information
Practice address
12421 N FLORIDA AVE STE 113B, TAMPA, FL 33612-4271
(856) 369-5726
Mailing address
12421 N FLORIDA AVE STE 113B, TAMPA, FL 33612-4271
(856) 369-5726
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558812933
HOME HEALTH AIDE
NJ
Enumeration date
07/15/2019
Last updated
07/15/2019
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