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Organization

CSHHA NORTH FLORIDA, LLC

Active
Other names
Cornerstone Home Care
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TERESA A. RAGLAND RN (PRESIDENT)
(386) 362-8552
Entity
Organization

Contact information

Practice address
1370 SARNO ROAD, SUITE C, MELBOURNE, FL 32935
(321) 428-4866
(321) 428-4867
Mailing address
1370 SARNO ROAD, SUITE C, MELBOURNE, FL 32935
(321) 428-4866
(321) 428-4867

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
299994435
AHCA LICENSE #
FL
Enumeration date
12/18/2014
Last updated
02/01/2017
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