Organization
EXPRESS HHA, INC
Active
Other names
Champion Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY ALLEN KALISHMAN (VICE PRESIDENT)
(352) 371-8600
Entity
Organization
Contact information
Practice address
3911 W NEWBERRY RD, SUITE B-2, GAINESVILLE, FL 32607-4820
(352) 371-8600
(352) 338-1194
Mailing address
3911 W NEWBERRY RD, SUITE B-2, GAINESVILLE, FL 32607-4820
(352) 371-8600
(352) 338-1194
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299992736
FL
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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