Provider Demographics
NPI:1912320383
Name:RIGHT SPIRIT HOMECARE,INC
Entity type:Organization
Organization Name:RIGHT SPIRIT HOMECARE,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESTRENETA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMMOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-561-8175
Mailing Address - Street 1:3368 MERCHANT TER
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32738-5456
Mailing Address - Country:US
Mailing Address - Phone:386-532-9534
Mailing Address - Fax:386-532-2857
Practice Address - Street 1:3368 MERCHANT TER
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32738
Practice Address - Country:US
Practice Address - Phone:386-532-9534
Practice Address - Fax:386-532-2857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-21
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL12243320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities