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Organization
INNOVATIVE HOMCARE, LLC.
Active
Organization
INNOVATIVE HOMCARE, LLC.
Active
Other names
Innovative HomeCare, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
LULA M NOLDEN-HILL (OWNER)
(352) 272-1431
Entity
Organization
Contact information
Practice address
1209 KELLOGG DR STE 140, TAVARES, FL 32778-4944
(352) 272-1431
(352) 508-9798
Mailing address
1209 KELLOGG DR STE 140, TAVARES, FL 32778-4944
(352) 272-1431
(813) 575-8866
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
06/22/2020
Last updated
01/17/2023
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