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NPI Code Detail

MEDICARE: YOUTHFUL AGING HOME HEALTH, INC.

MEDICARE: YOUTHFUL AGING HOME HEALTH, 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 AgencyFL

General Provider Information

NPI Number : 1851569115
Entity Type Code : Organization
Provider Name (Legal Business Name) : YOUTHFUL AGING HOME HEALTH, INC.
Provider Business Mailing Address
First Line : 7220 BENEVA RD
Second Line :
City : SARASOTA
State : FL
Zip : 34238-2806
Country : US
Telephone Number : 941-925-9532
Fax Number :
Provider Business Practice Location Address
First Line : 7220 BENEVA RD
Second Line :
City : SARASOTA
State : FL
Zip : 34238-2806
Country : US
Telephone Number : 941-925-9532
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : ELAINE M DAMASCO
Credential :
Telephone Number : 941-925-9532
Provider Enumeration Date : 02/20/2008
Last Update Date : 02/20/2008

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Directions to “YOUTHFUL AGING HOME HEALTH, INC. ” Practice Location

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