Organization
NEO HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORNELIUS MARTIN MCKEE (ADMINISTRATOR)
(423) 244-5468
Entity
Organization
Contact information
Practice address
1203 MILAN ST, NORTH PORT, FL 34286-6103
(423) 244-5468
Mailing address
1203 MILAN ST, NORTH PORT, FL 34286-6103
(423) 244-5468
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
736995
—
FL
Enumeration date
03/27/2019
Last updated
03/27/2019
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