MEDICARE: LISTENING EARS

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
1	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255633806
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LISTENING EARS

Provider Business Mailing Address
First Line	:	PO BOX 11903
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33733-1903
Country	:	US
Telephone Number	:	727-322-2979
Fax Number	:

Provider Business Practice Location Address
First Line	:	2920 1ST AVE S
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33712-1009
Country	:	US
Telephone Number	:	727-322-2979
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	YVONNE KING
Credential	:
Telephone Number	:	727-322-2979

Provider Enumeration Date	:	12/01/2010
Last Update Date	:	12/01/2010

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Directions to “LISTENING EARS ” Practice Location

Language	Start Address	Practice Location

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