Provider Demographics
NPI:1396402962
Name:COUNCIL WITH CARE
Entity Type:Organization
Organization Name:COUNCIL WITH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARKISH
Authorized Official - Middle Name:FONYA
Authorized Official - Last Name:COUNCIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-736-6563
Mailing Address - Street 1:6853 ROUNDUP LN
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:FL
Mailing Address - Zip Code:32570-3267
Mailing Address - Country:US
Mailing Address - Phone:850-736-6563
Mailing Address - Fax:
Practice Address - Street 1:6853 ROUNDUP LN
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:FL
Practice Address - Zip Code:32570-3267
Practice Address - Country:US
Practice Address - Phone:850-736-6563
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-18
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health