Organization
E & N COMPANION CARE LLC
Active
Other names
Champion Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BENTANCUR (ADMINISTRATOR)
(772) 287-5432
Entity
Organization
Contact information
Practice address
130 SW MONTEREY RD, STUART, FL 34994-4610
(772) 287-5432
(772) 497-7012
Mailing address
130 SW MONTEREY RD, STUART, FL 34994-4610
(772) 287-5432
(772) 497-7012
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102557600
—
FL
Enumeration date
03/29/2019
Last updated
08/23/2021
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