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Organization

COASTAL NURSECARE OF FLORIDA, INC.

Active
Other names
Addus HomeCare
Organization subpart
No

Provider details

NPI number
Authorized official
DARBY ANDERSON (EVP CGRO)
(630) 296-3443
Entity
Organization

Contact information

Practice address
2160 CREIGHTON RD, PENSACOLA, FL 32504-7218
(850) 475-9000
(850) 475-9330
Mailing address
801 WARRENVILLE RD STE 800, LISLE, IL 60532-0912
(850) 475-9000
(850) 475-9330

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299991520
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
650996700
FL
05
684119896
FL
05
685500800
FL
01
JP4
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/13/2005
Last updated
04/30/2025
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