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Shasta Cantina Ware
Home Health Agency in Hastings, Florida
NPI 1710565957

Shasta Cantina Ware is a Home Health Agency based in Hastings, FL. Shasta Cantina Ware practices in Hastings, FL. The NPI Number for Shasta Cantina Ware is 1710565957 and holds a License No. (Florida).

The current practice location address for Shasta Cantina Ware is 303 Ware Lane, Hastings, FL and can be reached out via phone at 904-692-1131 and via fax at 904-692-3856.

Location: 303 Ware Lane, Hastings, FL, 32145-0862
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710565957
Provider Name
Shasta Cantina Ware
Credential
Provider Entity Type
Individual
Gender
Female
Address
303 Ware Lane, Hastings, FL, 32145-0862
Phone Number
904-692-1131
Fax Number
904-692-3856
Provider Enumeration Date
03/30/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1977 01 FL SELFPAY
institution
Provider Business Practice Location Address Details
Address
303 Ware Lane
City
Hastings
State
Florida
Zip
32145-3214
Phone Number
904-692-1131
Fax Number
904-692-3856
person
Provider Business Mailing Address Details
Address
303 Ware Lane
City
Hastings
State
Florida
Zip
32145-3214
Phone Number
904-692-1131
Fax Number
904-692-3856
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
(Florida)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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