Organization
BON SECOURS ST PETERSBURG HOME CARE SERVICES LLC
Active
Other names
Bon Secours Homecare Services
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY RALSTON (VP REIMBURSEMENT)
(419) 996-5119
Entity
Organization
Contact information
Practice address
11001 ROOSEVELT BLVD N STE 100, ST PETERSBURG, FL 33716-2344
(727) 577-7990
(727) 576-6138
Mailing address
PO BOX 631118, CINCINNATI, OH 45263-1118
(513) 952-5002
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299992508
HOME HEALTH LICENSE
FL
01
—
2999992508
HOME HEALTH LICENSE
FL
Enumeration date
08/31/2006
Last updated
09/20/2023
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