Organization
HADASSAH HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH OWENS (ADMINISTRATOR)
(850) 582-6717
Entity
Organization
Contact information
Practice address
124 E MIRACLE STRIP PKWY, MARY ESTHER, FL 32569-1988
(850) 601-9710
(850) 710-9745
Mailing address
24 POULTON DR NW, FORT WALTON BEACH, FL 32548-4500
(850) 601-9710
(850) 710-9745
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115725300
—
FL
Enumeration date
12/12/2022
Last updated
01/19/2023
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