Healthcare Provider Details

I. General information

NPI: 1932531811
Provider Name (Legal Business Name): DESERVED CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2013
Last Update Date: 08/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 E VENICE AVE STE 119
VENICE FL
34285-4670
US

IV. Provider business mailing address

312 E VENICE AVE STE 119
VENICE FL
34285-4670
US

V. Phone/Fax

Practice location:
  • Phone: 941-375-2020
  • Fax:
Mailing address:
  • Phone: 941-375-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MR. DARYL J BROWN JR.
Title or Position: MARKETING DIRECTOR
Credential:
Phone: 941-375-2020