Organization
AMUN- RA HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH DUHART LPN (AUTHORIZED OFFICIAL)
(813) 679-8710
Entity
Organization
Contact information
Practice address
6446 TABOGI TRL, WESLEY CHAPEL, FL 33545-1360
(813) 679-8710
Mailing address
5804 BOYETTE RD UNIT 7072, WESLEY CHAPEL, FL 33545-8003
(813) 679-8710
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
10/24/2020
Last updated
10/24/2020
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