Organization Name: | HOGANS BRIDGE |
NPI Number: | 1699917948 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTINE E HOGAN (OWNER) |
Mailing Address: | 12415 Kildeer Rd Weeki Wachee |
State: | FL US |
Postal Code: | 346142804 |
Phone Number: | 3525974943 |
Fax Number: | 3525974943 |
NPI Enumeration Date: | 04/01/2009 |
NPI Last Update Date: | 04/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 691570198 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |