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NPI Code Detail

MEDICARE: HANDMAIDEN HOME HEALTH SERVICES

MEDICARE: HANDMAIDEN HOME HEALTH SERVICES
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
1251E00000XHome Health Agency30211250FL

General Provider Information

NPI Number : 1710014956
Entity Type Code : Organization
Provider Name (Legal Business Name) : HANDMAIDEN HOME HEALTH SERVICES
Provider Business Mailing Address
First Line : 800 VIRGINIA AVE STE 38K
Second Line :
City : FORT PIERCE
State : FL
Zip : 34982-5893
Country : US
Telephone Number : 772-461-0999
Fax Number : 772-461-3839
Provider Business Practice Location Address
First Line : 800 VIRGINIA AVE STE 38K
Second Line :
City : FORT PIERCE
State : FL
Zip : 34982-5893
Country : US
Telephone Number : 772-461-0999
Fax Number : 772-461-3839
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. PATRICIA JEAN DURDEN
Credential : OWNER
Telephone Number : 772-461-0999
Provider Enumeration Date : 02/27/2007
Last Update Date : 08/22/2020

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Directions to “HANDMAIDEN HOME HEALTH SERVICES ” Practice Location

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