Organization
CARESOUTH HHA HOLDINGS OF THE SUNSHINE COAST LLC
Active
Other names
CareSouth Homecare Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK W GRIFFIN (PRES/CEO)
(706) 855-5533
Entity
Organization
Contact information
Practice address
5420 NW 33RD AVE, SUITE 109, FORT LAUDERDALE, FL 33309-6348
(954) 486-4930
(954) 486-4928
Mailing address
PO BOX 200, AUGUSTA, GA 30903-0200
(706) 855-5533
(706) 854-7382
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
651094432
TAX ID
FL
Enumeration date
05/18/2006
Last updated
07/09/2013
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