Provider Demographics
NPI:1124638879
Name:RB FISHER HOLDING CORP
Entity type:Organization
Organization Name:RB FISHER HOLDING CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JESSE
Authorized Official - Middle Name:
Authorized Official - Last Name:MALIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-235-4584
Mailing Address - Street 1:200 9TH AVE N
Mailing Address - Street 2:
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-3500
Mailing Address - Country:US
Mailing Address - Phone:813-235-4584
Mailing Address - Fax:
Practice Address - Street 1:200 9TH AVE N
Practice Address - Street 2:
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-3500
Practice Address - Country:US
Practice Address - Phone:813-235-4584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-07
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health