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Organization
CAREGIVER & COMPANION CARE LLC
Active
Organization
CAREGIVER & COMPANION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DORA MARIA MEJIA IN HOME SUPPORT (ADMINISTRATOR)
(813) 531-0360
Entity
Organization
Contact information
Practice address
1020 W BUSCH BLVD, TAMPA, FL 33612-7704
(813) 531-0360
(813) 252-9688
Mailing address
1020 W BUSCH BLVD, TAMPA, FL 33612-7704
(813) 531-0360
(813) 252-9688
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
311Z00000X
Custodial Care Facility
—
NULL
385HR2055X
Child Mental Illness Respite Care
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Enumeration date
06/27/2019
Last updated
01/21/2020
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