Organization
CARESOUTH HHA HOLDINGS OF PANAMA CITY, LLC
Active
Parent organization
ENHABIT, INC.
Other names
Enhabit Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENHABIT, INC.
Authorized official
JULIE DIANE JOLLEY (EVP OF HOME HEALTH OPERATIONS)
(214) 239-6500
Entity
Organization
Contact information
Practice address
4001 W 23RD ST STE C, PANAMA CITY, FL 32405-0300
(850) 522-4211
(850) 522-4207
Mailing address
6688 N CENTRAL EXPRESSWAY, SUITE 1300, DALLAS, TX 75206-3950
(214) 239-6500
(214) 239-6581
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299992361
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D1056410
CLIA
—
01
—
299992361
STATE LICENSE
FL
Enumeration date
05/08/2006
Last updated
12/31/2024
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