| Home Again Of Southwest Florida,inc. | |
|
1357 Ramsdel St Port Charlotte FL 33952-2887 | |
| (941) 743-4857 | |
| (800) 921-4989 |
| Full Name | Home Again Of Southwest Florida,inc. |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 1357 Ramsdel St, Port Charlotte, Florida |
| Authorized Official Name and Position | Angela Ashley (PRESIDENT) |
| Authorized Official Contact | 9417434857 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Again Of Southwest Florida,inc. Po Box 380183 Murdock FL 33938-0183 Ph: (941) 743-4857 | Home Again Of Southwest Florida,inc. 1357 Ramsdel St Port Charlotte FL 33952-2887 Ph: (941) 743-4857 |
| NPI Number | 1750684809 |
|---|---|
| Provider Enumeration Date | 12/13/2010 |
| Last Update Date | 12/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750684809 | NPI | - | NPPES |
| 678473996 | Other | MEDICAID WAIVER |
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