Organization
HEART OF GOLD HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA SUMMERS (OWNER/PROVIDER)
(321) 339-6022
Entity
Organization
Contact information
Practice address
1900 POST RD APT 211, MELBOURNE, FL 32935-4769
(321) 339-6022
(321) 821-1376
Mailing address
1900 POST RD APT 211, MELBOURNE, FL 32935-4769
(321) 339-6022
(321) 821-1376
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
024036800
FL
376J00000X
Homemaker
Primary
235195
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024036800
—
FL
01
—
235195
AHCA HOMEMAKING & COMPANION
FL
Enumeration date
03/19/2018
Last updated
03/19/2018
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