Organization
HOGANS HARVEST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL DELORES HOGAN (CEO/DIRECTOR)
(904) 377-6845
Entity
Organization
Contact information
Practice address
4752 AVENUE D, ST AUGUSTINE, FL 32095-5228
(904) 377-6845
(904) 429-7526
Mailing address
99 KING ST, ST AUGUSTINE, FL 32084-4343
(904) 377-6845
(904) 429-7526
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
692535996
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692535996
—
FL
Enumeration date
04/09/2010
Last updated
04/24/2012
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