Organization
V PRO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA SIMPSON THOMAS (OWNER)
(352) 328-3571
Entity
Organization
Contact information
Practice address
3731 NE 217TH CT, WILLISTON, FL 32696-7048
(352) 328-3571
(352) 328-3571
Mailing address
3731 NE 217TH CT, WILLISTON, FL 32696-7048
(352) 328-3571
(352) 328-3571
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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