Organization
CLASSIC HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD J ROSENBERG (PRESIDENT)
(321) 413-0038
Entity
Organization
Contact information
Practice address
2235 N COURTENAY PKWY STE 2M, MERRITT ISLAND, FL 32953-5227
(954) 929-4888
Mailing address
PO BOX 541231, MERRITT ISLAND, FL 32954-1231
(321) 413-0038
(954) 929-4488
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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