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NPI Code Detail

MEDICARE: NURTURING CARE COMPANIONS, LLC

MEDICARE: NURTURING CARE COMPANIONS, LLC
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
1261QD1600XDevelopmental Disabilities Clinic/Center
2251E00000XHome Health Agency

General Provider Information

NPI Number : 1225402092
Entity Type Code : Organization
Provider Name (Legal Business Name) : NURTURING CARE COMPANIONS, LLC
Provider Business Mailing Address
First Line : 1400 58TH AVE N
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33703-1037
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1400 58TH AVE N
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33703-1037
Country : US
Telephone Number : 727-550-6476
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MONICA L BYRD
Credential :
Telephone Number : 727-550-6476
Provider Enumeration Date : 11/17/2015
Last Update Date : 01/25/2017

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Directions to “NURTURING CARE COMPANIONS, LLC ” Practice Location

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