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Organization
LAKESIDE QUALITY HOME HEALTH CARE INC
Active
Organization
LAKESIDE QUALITY HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NATALIA M ROQUE (PRESIDENT)
(561) 924-7675
Entity
Organization
Contact information
Practice address
109 S LAKE AVE, PAHOKEE, FL 33476-1803
(561) 924-7675
(561) 924-7677
Mailing address
109 S LAKE AVE, PAHOKEE, FL 33476-1803
(561) 924-7675
(561) 924-7677
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299992191
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
651221600
—
FL
Enumeration date
08/23/2006
Last updated
03/04/2020
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