Organization
KASSIDY KARE HOME AGENCY
Active
Other names
Kassidy Kare Home Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CICELY MASON (PRESIDENT/CEO)
(772) 242-3596
Entity
Organization
Contact information
Practice address
7629 BRAMBLEWOOD DR APT SUITE, PORT RICHEY, FL 34668-7009
(850) 901-7004
Mailing address
7629 BRAMBLEWOOD DR, PORT RICHEY, FL 34668-7009
(772) 242-3596
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/22/2021
Last updated
10/12/2021
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