Provider Demographics
NPI:1164706164
Name:PREFERRED CARE AT HOME OF SEMINOLE COUNTY, INC.
Entity Type:Organization
Organization Name:PREFERRED CARE AT HOME OF SEMINOLE COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCURRAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-442-2730
Mailing Address - Street 1:402 GARTH CT
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-4051
Mailing Address - Country:US
Mailing Address - Phone:321-277-1404
Mailing Address - Fax:
Practice Address - Street 1:402 GARTH CT
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-4051
Practice Address - Country:US
Practice Address - Phone:321-277-1404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-09
Last Update Date:2011-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL231748253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care