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NPI Code Detail

MEDICARE: LISENBY HOME CARE, INC.

MEDICARE: LISENBY HOME CARE, 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 Agency20651096FL

General Provider Information

NPI Number : 1386780757
Entity Type Code : Organization
Provider Name (Legal Business Name) : LISENBY HOME CARE, INC.
Provider Business Mailing Address
First Line : 412 N COVE BLVD
Second Line :
City : PANAMA CITY
State : FL
Zip : 32401-3726
Country : US
Telephone Number : 850-769-0440
Fax Number : 850-784-0218
Provider Business Practice Location Address
First Line : 412 N COVE BLVD
Second Line :
City : PANAMA CITY
State : FL
Zip : 32401-3726
Country : US
Telephone Number : 850-769-0440
Fax Number : 850-784-0218
Authorized Official
Title or Position : ADMINISTRATION
Name : MS. ANN LISENBY PARMER
Credential :
Telephone Number : 850-769-0440
Provider Enumeration Date : 01/30/2007
Last Update Date : 08/22/2020

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Directions to “LISENBY HOME CARE, INC. ” Practice Location

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