Organization
CELEBRITY STYLE HOMEMAKER & COMPANION SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DESIREE NICOLE DAVIS (OWNER/ OPERATOR)
(727) 278-6645
Entity
Organization
Contact information
Practice address
1325 16TH ST S, SAINT PETERSBURG, FL 33705-2338
(727) 278-6645
Mailing address
1325 16TH ST S, SAINT PETERSBURG, FL 33705-2338
(727) 278-6645
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
230098
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
691878696
—
FL
05
—
691878698
—
FL
Enumeration date
10/28/2008
Last updated
10/28/2008
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