Organization
ETERNITY HOME HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAVIER A CARUNCHO (PRESIDENT)
(239) 931-9352
Entity
Organization
Contact information
Practice address
12650 WORLD PLAZA LN # 72-2, FORT MYERS, FL 33907-4077
(239) 931-9352
Mailing address
12650 WORLD PLAZA LN # 72-2, FORT MYERS, FL 33907-4077
(239) 931-9352
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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