Organization
OPTIMUM IN-HOME AIDE AGENCY LLC
Active
Other names
Optimum Home Care of Florida
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNA SCOTT (OWNER)
(414) 704-9031
Entity
Organization
Contact information
Practice address
3801 PARK ST N, ST PETERSBURG, FL 33709-4078
(414) 704-9031
Mailing address
420 79TH TER N APT 211, ST PETERSBURG, FL 33702-4371
(414) 704-9031
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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