Organization
ANSLEY HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAQUIS MCCULLOUGH (CEO)
(863) 651-2139
Entity
Organization
Contact information
Practice address
1502 6TH CT NE, WINTER HAVEN, FL 33881
(863) 651-2139
Mailing address
112 WEEPING WILLOW RD, EAGLE LAKE, FL 33839-5118
(863) 651-2139
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/14/2018
Last updated
05/15/2018
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