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NPI Code Detail

MEDICARE: EXPRESS HHA, INC

MEDICARE: EXPRESS HHA, 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 Agency299992736FL

General Provider Information

NPI Number : 1821225210
Entity Type Code : Organization
Provider Name (Legal Business Name) : EXPRESS HHA, INC
Provider Business Mailing Address
First Line : 3911 W NEWBERRY RD
Second Line : SUITE B-2
City : GAINESVILLE
State : FL
Zip : 32607-4820
Country : US
Telephone Number : 352-371-8600
Fax Number : 352-338-1194
Provider Business Practice Location Address
First Line : 3911 W NEWBERRY RD
Second Line : SUITE B-2
City : GAINESVILLE
State : FL
Zip : 32607-4820
Country : US
Telephone Number : 352-371-8600
Fax Number : 352-338-1194
Authorized Official
Title or Position : VICE PRESIDENT
Name : MR. ANTHONY ALLEN KALISHMAN
Credential :
Telephone Number : 352-371-8600
Provider Enumeration Date : 06/12/2009
Last Update Date : 06/12/2009

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Directions to “EXPRESS HHA, INC ” Practice Location

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