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NPI Code Detail

MEDICARE: HANSON SERVICES. NO. 5, INC.

MEDICARE: HANSON SERVICES. NO. 5, INC.
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 Agency30211040FL

General Provider Information

NPI Number : 1194157180
Entity Type Code : Organization
Provider Name (Legal Business Name) : HANSON SERVICES. NO. 5, INC.
Provider Business Mailing Address
First Line : 1601 RICKENBACKER DR
Second Line : #5
City : SUN CITY CENTER
State : FL
Zip : 33573-5332
Country : US
Telephone Number : 813-634-6617
Fax Number : 813-634-7259
Provider Business Practice Location Address
First Line : 1601 RICKENBACKER DR
Second Line : #5
City : SUN CITY CENTER
State : FL
Zip : 33573-5332
Country : US
Telephone Number : 813-634-6617
Fax Number : 813-634-7259
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. ANNA GRACE LEININGER
Credential :
Telephone Number : 239-357-7243
Provider Enumeration Date : 08/01/2013
Last Update Date : 08/01/2013

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Directions to “HANSON SERVICES. NO. 5, INC. ” Practice Location

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