Organization
EMERALD COAST LIFECARE, INC.
Active
Other names
Brightstar Emerald Coast
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN W RUCKEL (PRESIDENT)
(850) 659-3125
Entity
Organization
Contact information
Practice address
815 BAYSHORE DR, SUITE A, NICEVILLE, FL 32578-2548
(850) 659-3125
(850) 659-3123
Mailing address
815 BAYSHORE DR, SUITE A, NICEVILLE, FL 32578-2548
(850) 659-3125
(850) 659-3123
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
39967218
FL
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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