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NPI Code Detail

MEDICARE: HARBOUR HEALTH SYSTEMS LLC

MEDICARE: HARBOUR HEALTH SYSTEMS LLC
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 Agency299991017FL

General Provider Information

NPI Number : 1912101122
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARBOUR HEALTH SYSTEMS LLC
Provider Business Mailing Address
First Line : 23013 WESTCHESTER BLVD
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33980-8448
Country : US
Telephone Number : 941-235-4520
Fax Number : 941-624-2398
Provider Business Practice Location Address
First Line : 23013 WESTCHESTER BLVD
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33980-8448
Country : US
Telephone Number : 941-235-4520
Fax Number : 941-624-2398
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. JERI SUE MAXFIELD
Credential : NHA
Telephone Number : 941-235-4520
Provider Enumeration Date : 06/12/2007
Last Update Date : 01/30/2012

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Directions to “HARBOUR HEALTH SYSTEMS LLC ” Practice Location

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