Organization
HEALTHCARE SOURCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN R GOODFELLOW (PRESIDENT)
(561) 227-1546
Entity
Organization
Contact information
Practice address
12230 FOREST HILL BLVD, SUITE 193, WELLINGTON, FL 33414-5700
(561) 227-1546
(561) 227-1547
Mailing address
12230 FOREST HILL BLVD, SUITE 193, WELLINGTON, FL 33414-5700
(561) 227-1546
(561) 227-1547
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
30211585
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30211585
LICENSED NURSE REGISTRY
FL
Enumeration date
05/21/2014
Last updated
05/21/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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