Organization
FIRSTLIGHT HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LANCE HENDERSON (OWNER)
(850) 240-8578
Entity
Organization
Contact information
Practice address
91 BAY BRIDGE DR, GULF BREEZE, FL 32561-4468
(850) 659-9600
Mailing address
91 BAY BRIDGE DR, GULF BREEZE, FL 32561-4468
(850) 659-9600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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