Organization
HOME HEALTH AGENCY- BREVARD, LLC
Active
Other names
SunCrest OMNI
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBIN COHEN (REGULATORY AFFAIRS)
(954) 707-5880
Entity
Organization
Contact information
Practice address
720 W OAK ST, SUITE 303, KISSIMMEE, FL 34741-4989
(407) 933-1400
(407) 933-1450
Mailing address
720 W OAK ST, SUITE 303, KISSIMMEE, FL 34741-4989
(407) 933-1400
(407) 933-1450
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299992050
FL
Other
Enumeration date
05/27/2006
Last updated
12/07/2011
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