Provider Demographics
NPI:1942770284
Name:EMBRACING HEALTHCARE LLC
Entity Type:Organization
Organization Name:EMBRACING HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:D
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-672-1476
Mailing Address - Street 1:PO BOX 953
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34954-0953
Mailing Address - Country:US
Mailing Address - Phone:772-672-1476
Mailing Address - Fax:
Practice Address - Street 1:1301 S 33RD ST
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34947-6315
Practice Address - Country:US
Practice Address - Phone:772-672-1476
Practice Address - Fax:772-882-4477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-29
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health