Organization Name: | CONSUELLO PICKARD |
NPI Number: | 1720317332 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CONSUELLO PICKARD (CEO/PRESIDENT) |
Mailing Address: | 901 Mccormack St Leesburg |
State: | FL US |
Postal Code: | 347484233 |
Phone Number: | 3523486924 |
Fax Number: | |
NPI Enumeration Date: | 12/09/2009 |
NPI Last Update Date: | 12/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | HCS231217 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |