NPI 1174935134
Active Home Care INC.
Practice location
- Address
- 2565 N Toledo Blade Blvd, North Port, FL 34289-9306
- Phone
- (941) 564-8621
- Fax
- (941) 429-3322
Authorised official
- Name
- Justin Cody Willis
- Title
- President
- Phone
- (941) 564-8621
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1174935134
- Entity type
- Organization
- NPI issued
- 27 May 2014
- Record last updated
- 27 May 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.