Organization
DECENA LLC
Active
Other names
On Call Companion Care
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA HENSLEY (OWNER)
(903) 826-9551
Entity
Organization
Contact information
Practice address
6847 N 9TH AVE, PENSACOLA, FL 32504-7396
(903) 826-9551
(850) 303-2009
Mailing address
7313 DOGWOOD TERRACE DR, PENSACOLA, FL 32504-6708
(903) 826-9551
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108651500
MEDICAID PROVIDER ID
FL
Enumeration date
06/02/2021
Last updated
06/21/2023
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