Organization
RUACH HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTIONETTE SHEPARD (PRESIDENT)
(813) 526-6374
Entity
Organization
Contact information
Practice address
2413 S 76TH ST, TAMPA, FL 33619-5906
(813) 531-6324
Mailing address
2413 S 76TH ST, TAMPA, FL 33619-5906
(813) 531-6324
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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