Provider Demographics
NPI:1023234366
Name:COMPREHENSIVE HOME CARE OF NORTH WEST FLORIDA
Entity type:Organization
Organization Name:COMPREHENSIVE HOME CARE OF NORTH WEST FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:850-207-0556
Mailing Address - Street 1:7552 NAVARRE PKWY
Mailing Address - Street 2:SUITE 4
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566-7305
Mailing Address - Country:US
Mailing Address - Phone:850-748-0065
Mailing Address - Fax:850-936-0908
Practice Address - Street 1:7552 NAVARRE PKWY
Practice Address - Street 2:SUITE 4
Practice Address - City:NAVARRE
Practice Address - State:FL
Practice Address - Zip Code:32566-7305
Practice Address - Country:US
Practice Address - Phone:850-748-0065
Practice Address - Fax:850-936-0908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992842251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health