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General NPI Number Information
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NPI Number | 1609976950
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Entity Type | Organization
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Legal Business Name | KEYSTONE HOME HEALTH, INC.
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 9600 KOGER BLVD N STE 225
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City | SAINT PETERSBURG
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State | FL
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Zip | 33702-2467
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Country | US
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Telephone | 276-692-7777
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Fax | 727-669-2778
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Provider Business Mailing Address
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Address Line | 9600 KOGER BLVD N STE 225
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City | SAINT PETERSBURG
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State | FL
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Zip | 33702-2467
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Country | US
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Telephone | 727-669-2777
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Fax | 727-669-2778
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Authorized Official
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Title or Position | CFO
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Name | RICHARD S GARBACIK
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Credential |
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Telephone | 727-669-2777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 299992497
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License Number State | FL
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