Organization
BOYETTE HOME HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON MARIE BOYETTE M.A. (OWNER/OPERATOR)
(850) 313-7850
Entity
Organization
Contact information
Practice address
8944 JOHN HAMM RD, MILTON, FL 32583-8331
(850) 313-7850
(850) 983-1369
Mailing address
8944 JOHN HAMM RD, MILTON, FL 32583-8331
(850) 313-7850
(850) 983-1369
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002090500
—
FL
05
—
002705400
—
FL
05
—
002706400
—
FL
Enumeration date
11/29/2010
Last updated
11/29/2010
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