Organization
EKKLESIA COMMERCIAL SERVICES, LLC
Active
Other names
Ekklesia Commercial Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GREG ROMEO (ADMINISTRATOR)
(386) 527-9074
Entity
Organization
Contact information
Practice address
119 S PALMETTO AVE STE 210, DAYTONA BEACH, FL 32114-4327
(386) 400-5665
Mailing address
1500 BEVILLE RD STE 606-154, DAYTONA BEACH, FL 32114-5646
(386) 527-9074
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104882300
—
FL
Enumeration date
02/18/2020
Last updated
02/18/2020
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