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Organization
HOME COMPANIONS OF LAKE CO., INC
Active
Organization
HOME COMPANIONS OF LAKE CO., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AVIE LEE KEITH (ACCOUNTS MANAGER)
(352) 483-3086
Entity
Organization
Contact information
Practice address
2785 S BAY ST STE D, EUSTIS, FL 32726-6591
(352) 483-3086
(352) 483-3136
Mailing address
PO BOX 148, TAVARES, FL 32778-0148
(352) 483-3086
(352) 483-3136
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299992225
FL
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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