Organization
DESOTO MEMORIAL HOSPITAL INC
Active
Other names
DeSoto Memorial Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT A SICA (CEO)
(863) 494-8403
Entity
Organization
Contact information
Practice address
1006 N MILLS AVE, ARCADIA, FL 34266-8811
(863) 494-8432
(863) 494-7914
Mailing address
1006 N MILLS AVE, ARCADIA, FL 34266-8811
(863) 494-8432
(863) 494-7914
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA20302095
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027059800
—
FL
Enumeration date
08/31/2006
Last updated
07/12/2010
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