Organization
MY OTHER DAUGHTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN CORRIGAN (OWNER)
(941) 400-3401
Entity
Organization
Contact information
Practice address
312 E VENICE AVE STE 119, VENICE, FL 34285-4670
(941) 400-3401
(941) 296-6842
Mailing address
312 E VENICE AVE STE 119, VENICE, FL 34285-4670
(941) 400-3401
(941) 296-6842
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/05/2013
Last updated
12/10/2013
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