Organization
SUZIE Q'S HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZETTE BROCKINGTON (OWNER/ CEO)
(813) 562-4565
Entity
Organization
Contact information
Practice address
1211 TECH BLVD STE 165, TAMPA, FL 33619-7846
(813) 294-7623
Mailing address
321 BENSON ST, VALRICO, FL 33594-3014
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014362400
—
FL
Enumeration date
12/29/2022
Last updated
12/29/2022
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