# HOME COMPANIONS OF LAKE CO., INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063716975
- **Authorized official:** MS. AVIE LEE KEITH (ACCOUNTS MANAGER)
- **Authorized official phone:** (352) 483-3086

## Contact information

- **Practice address:** 2785 S BAY ST STE D, EUSTIS, FL 32726-6591
- **Practice address phone:** (352) 483-3086
- **Practice address fax:** (352) 483-3136
- **Mailing address:** PO BOX 148, TAVARES, FL 32778-0148
- **Mailing address phone:** (352) 483-3086
- **Mailing address fax:** (352) 483-3136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 299992225 | FL | Yes |

## Other

- **Enumeration date:** 01/06/2011
- **Last updated:** 01/06/2011