Organization
GOTCHER PCAH CARES LLC
Active
Other names
Preferred Care at Home of South Tampa
Organization subpart
No
Provider details
NPI number
Authorized official
JARED MARK GOTCHER (OWNER & EXECUTIVE DIRECTOR)
(813) 822-4510
Entity
Organization
Contact information
Practice address
3131 N BOULEVARD STE B, TAMPA, FL 33603-5527
(813) 822-4510
Mailing address
3131 N BOULEVARD STE B, TAMPA, FL 33603-5527
(813) 822-4510
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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