Organization
PCAH GUSHUE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED GUSHUE JR. (CEO)
(321) 329-5300
Entity
Organization
Contact information
Practice address
1275 S PATRICK DR # A3, SATELLITE BEACH, FL 32937-3963
(321) 329-5300
(321) 329-5300
Mailing address
1275 S PATRICK DR # A3, SATELLITE BEACH, FL 32937-3963
(321) 329-5300
(321) 329-5300
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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