Organization
HOUSECALL SUPPORTIVE SERVICES, LLC
Active
Other names
Amedisys Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BORNE (CEO)
(225) 292-2031
Entity
Organization
Contact information
Practice address
12601 NEW BRITTANY BLVD, BUILDING 19, FT MYERS, FL 33907-3631
(239) 275-8883
(239) 275-8859
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 292-2031
(225) 295-9678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
204960961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004546200
—
FL
Enumeration date
05/05/2006
Last updated
08/06/2012
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