Organization
HARBOUR HEALTH SYSTEMS LLC
Active
Other names
Harbour Health Center, Harbour Terrace, Harbour Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY BOWEN GILLESPIE NHA (ADMINISTRATOR)
(941) 625-1220
Entity
Organization
Contact information
Practice address
23013 WESTCHESTER BLVD, PORT CHARLOTTE, FL 33980-8448
(941) 625-1220
(941) 625-5649
Mailing address
23013 WESTCHESTER BLVD, PORT CHARLOTTE, FL 33980-8448
(941) 625-1220
(941) 625-5649
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
299991017
FL
310400000X
Assisted Living Facility
AL5075
FL
314000000X
Skilled Nursing Facility
Primary
SNF1504096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031933300
—
FL
01
—
K3C
BLUECROSS/BLUE SHIELD
FL
Enumeration date
11/15/2005
Last updated
12/23/2008
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