Organization
DCR HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID RANDALL MPT (OWNER/OPERATOR)
(321) 432-3345
Entity
Organization
Contact information
Practice address
430 PLANT AVE NE, PALM BAY, FL 32907-2365
(321) 482-4982
Mailing address
430 PLANT AVE NE, PALM BAY, FL 32907-2365
(321) 482-4982
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT22170
FL
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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