=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659022549
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FINALLY HEALTHCARE SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/12/2022
-----------------------------------------------------
Last Update Date | 01/12/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2104 AVENUE D
-----------------------------------------------------
City | FORT PIERCE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34950-2750
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 772-708-4487
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 375 HILLCREST RD APT C201
-----------------------------------------------------
City | MOBILE
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36608-3878
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 772-708-4487
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JOSHUA T FRANCIS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 772-708-4487
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------