Organization
S N J SIMPLY FIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY G COUCH (OWNER)
(937) 824-0660
Entity
Organization
Contact information
Practice address
1978 S TAMIAMI TRL STE 5&6, VENICE, FL 34293-5006
(937) 824-0660
Mailing address
299 FAREHAM DR, VENICE, FL 34293-4477
(937) 824-0660
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
08/03/2023
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