# NORTHERN HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Preferred Care at Home of NE Orlando
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043539679
- **Authorized official:** MRS. ROBIN WILKIE (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (407) 601-3960

## Contact information

- **Practice address:** 250 N ORANGE AVE STE 1250, ORLANDO, FL 32801-1840
- **Practice address phone:** (407) 601-3960
- **Practice address fax:** (407) 206-0065
- **Mailing address:** 250 N ORANGE AVE STE 1250, ORLANDO, FL 32801-1840
- **Mailing address phone:** (407) 601-3960
- **Mailing address fax:** (407) 206-0065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 230942 | FL | Yes |

## Other

- **Enumeration date:** 05/21/2010
- **Last updated:** 05/21/2010