Provider Demographics
NPI:1295012516
Name:KEYSTONE OPTIONS, INC
Entity Type:Organization
Organization Name:KEYSTONE OPTIONS, INC
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:B
Authorized Official - Last Name:RUNNELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-920-4440
Mailing Address - Street 1:17901 HUNTING BOW CIR
Mailing Address - Street 2:STE 101
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33558-5394
Mailing Address - Country:US
Mailing Address - Phone:813-920-4440
Mailing Address - Fax:813-920-9991
Practice Address - Street 1:17901 HUNTING BOW CIR
Practice Address - Street 2:STE 101
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33558-5394
Practice Address - Country:US
Practice Address - Phone:813-920-4440
Practice Address - Fax:813-920-9991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-15
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992607253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care