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Organization

HOLCAM LLC

Active
Other names
Visiting Angels Florida West Coast, SKK,LLC
Organization subpart
No

Provider details

NPI number
Authorized official
SUNNY CAVANAUGH (OWNER/ADMINISTRATOR)
(941) 347-8288
Entity
Organization

Contact information

Practice address
25166 MARION AVE UNIT 114, PUNTA GORDA, FL 33950-4017
(941) 347-8288
(888) 547-2557
Mailing address
25166 MARION AVE UNIT 114, PUNTA GORDA, FL 33950-4017
(941) 347-8288
(888) 547-2557

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299994657
FL
251E00000X
Home Health Agency
302114657
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1386943710
HOME HEALTH CARE
FL
01
1699283325
HOME HEALTH CARE
FL
Enumeration date
01/16/2018
Last updated
06/17/2020
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