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NPI Code Detail

MEDICARE: EHOME FIRST RESPONDERS, LLC

MEDICARE: EHOME FIRST RESPONDERS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2104100000XSocial Worker

General Provider Information

NPI Number : 1376043067
Entity Type Code : Organization
Provider Name (Legal Business Name) : EHOME FIRST RESPONDERS, LLC
Provider Business Mailing Address
First Line : 7208 W SAND LAKE RD STE 305
Second Line :
City : ORLANDO
State : FL
Zip : 32819-5279
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7208 W SAND LAKE RD STE 305
Second Line :
City : ORLANDO
State : FL
Zip : 32819-5279
Country : US
Telephone Number : 443-291-3436
Fax Number :
Authorized Official
Title or Position : PROGRAM DIRECTOR
Name : KELLY FRITZ
Credential :
Telephone Number : 443-291-3436
Provider Enumeration Date : 02/19/2018
Last Update Date : 10/28/2019

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Directions to “EHOME FIRST RESPONDERS, LLC ” Practice Location

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