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Organization
PEACH TREE CARE LLC
Active
Organization
PEACH TREE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASHAD CUMMINGS (OWNER)
(407) 454-0370
Entity
Organization
Contact information
Practice address
1805 N ORANGE ST, MOUNT DORA, FL 32757-3013
(407) 454-0370
Mailing address
1805 N ORANGE ST, MOUNT DORA, FL 32757-3013
(407) 454-0370
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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