Organization
EXPRESS PENSACOLA HHA, INC.
Active
Other names
Champion Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY A KALISHMAN (VP)
(352) 328-1607
Entity
Organization
Contact information
Practice address
910 AIRPORT RD, SUITE A1, DESTIN, FL 32541-2805
(850) 460-2108
(850) 460-2106
Mailing address
910 AIRPORT RD, SUITE A1, DESTIN, FL 32541-2805
(850) 460-2108
(850) 460-2106
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299994035
FL
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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