Healthcare Provider Details

I. General information

NPI: 1750964540
Provider Name (Legal Business Name): CASTILLO HELPING HANDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2021
Last Update Date: 04/30/2021
Certification Date: 04/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3121 S CEDAR ST
ZOLFO SPRINGS FL
33890-9643
US

IV. Provider business mailing address

3121 S CEDAR ST
ZOLFO SPRINGS FL
33890-9643
US

V. Phone/Fax

Practice location:
  • Phone: 863-445-1621
  • Fax:
Mailing address:
  • Phone: 863-445-1621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MARIA CASTILLO
Title or Position: OWNER
Credential:
Phone: 863-445-1621