Provider Demographics
NPI:1982239950
Name:MISS DAISY'S HOME HEALTH AGENCY, LLC
Entity Type:Organization
Organization Name:MISS DAISY'S HOME HEALTH AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOWALSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-877-9568
Mailing Address - Street 1:5051 CASTELLO DRIVE
Mailing Address - Street 2:STE. 25
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103
Mailing Address - Country:US
Mailing Address - Phone:239-228-5351
Mailing Address - Fax:239-228-5349
Practice Address - Street 1:5051 CASTELLO DRIVE
Practice Address - Street 2:STE. 25/26
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-8959
Practice Address - Country:US
Practice Address - Phone:239-228-5351
Practice Address - Fax:239-228-5349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-10
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care