Organization
CLASSIC HOME HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY GRAVES-THOMAS RN (ADMINISTRATOR)
(352) 568-8200
Entity
Organization
Contact information
Practice address
2294 COUNTY ROAD 526 E, SUMTERVILLE, FL 33585-5178
(352) 568-8200
(352) 568-8202
Mailing address
PO BOX 400, SUMTERVILLE, FL 33585-0400
(352) 568-8200
(352) 568-8202
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JI9
BCBSFL PROVIDER NUMBER
FL
Enumeration date
09/29/2006
Last updated
08/02/2007
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