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Organization

HOUSE OF BOSTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHALONDRIA BOSTIC AFCH (OWER AFCH)
(727) 550-7076
Entity
Organization

Contact information

Practice address
1575 52ND AVE N, SAINT PETERSBURG, FL 33703-2629
(727) 550-7076
(727) 954-4227
Mailing address
1575 52ND AVE N, SAINT PETERSBURG, FL 33703-2629
(727) 550-7076
(727) 954-4227

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
6906812
FL

Other

Enumeration date
12/07/2015
Last updated
12/07/2015
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