Organization
MANILA HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANNE S NEWCOMB (PROVIDER)
(727) 667-4958
Entity
Organization
Contact information
Practice address
613 5TH AVE SE, LARGO, FL 33771
(727) 667-4958
(727) 581-7351
Mailing address
613 5TH AVE SE, LARGO, FL 33771
(727) 667-4958
(727) 581-7351
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
229837
FL
253J00000X
Foster Care Agency
Primary
37193FC
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY NUMBER
FL
Enumeration date
11/28/2006
Last updated
05/21/2020
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