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NPI Code Detail

MEDICARE: VISITING NURSE SERVICES OF THE TREASURE COAST, INC.

MEDICARE: VISITING NURSE SERVICES OF THE TREASURE COAST, 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 Agency21238096FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1008792200OTHERFLHOME & COMMUNITY BASED SERVICES WAIVER

General Provider Information

NPI Number : 1891798385
Entity Type Code : Organization
Provider Name (Legal Business Name) : VISITING NURSE SERVICES OF THE TREASURE COAST, INC.
Provider Business Mailing Address
First Line : 2400 SE MONTEREY RD
Second Line :
City : STUART
State : FL
Zip : 34996-3351
Country : US
Telephone Number : 772-286-8157
Fax Number : 772-286-8753
Provider Business Practice Location Address
First Line : 2400 SE MONTEREY RD
Second Line :
City : STUART
State : FL
Zip : 34996-3351
Country : US
Telephone Number : 772-286-8157
Fax Number : 772-286-8753
Authorized Official
Title or Position : CEO
Name : MR. DONALD R CROW
Credential : CEO
Telephone Number : 772-286-8157
Provider Enumeration Date : 05/27/2005
Last Update Date : 11/08/2013

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Directions to “VISITING NURSE SERVICES OF THE TREASURE COAST, INC. ” Practice Location

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