Organization
HOME HEALTH AGENCY - HILLSBOROUGH, LLC
Active
Other names
SunCrest OMNI
Organization subpart
No
Provider details
NPI number
Authorized official
AMANAD MCFADDIN (DIRECTOR OF LICENSING/ACCREDITATION)
(615) 712-2250
Entity
Organization
Contact information
Practice address
2000 E EDGEWOOD DR, SUITE 103, LAKELAND, FL 33803-3653
(863) 667-3014
(863) 667-3180
Mailing address
510 HOSPITAL DR, SUITE 150, MADISON, TN 37115-5033
(615) 627-9267
(615) 577-0081
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299992056
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004159202
—
FL
Enumeration date
05/25/2006
Last updated
06/08/2012
About Stedi
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