Organization
HOGANS BRIDGE
Active
Organization
HOGANS BRIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE E HOGAN (OWNER)
(352) 597-4943
Entity
Organization
Contact information
Practice address
12415 KILDEER RD, WEEKI WACHEE, FL 34614-2804
(352) 597-4943
(352) 597-4943
Mailing address
12415 KILDEER RD, WEEKI WACHEE, FL 34614-2804
(352) 597-4943
(352) 597-4943
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
691570196
FL
251S00000X
Community/Behavioral Health Agency
691570198
FL
253Z00000X
In Home Supportive Care Agency
691570196
FL
253Z00000X
In Home Supportive Care Agency
691570198
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
691570196
—
FL
05
—
691570198
—
FL
Enumeration date
04/01/2009
Last updated
04/01/2009
Update your record
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