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Organization

DESOTO HOME HEALTH CARE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANIEL ASHLEY GRAHAM (MANAGER)
(863) 773-9115
Entity
Organization

Contact information

Practice address
205 CARLTON ST, WAUCHULA, FL 33873-3317
(863) 773-9115
(863) 773-0749
Mailing address
205 CARLTON ST, WAUCHULA, FL 33873-3317
(863) 773-9115
(863) 773-0749

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
351
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001553700
FL
05
027419400
FL
Enumeration date
12/05/2006
Last updated
08/02/2017
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