# MKMAGAGENCY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Home Instead Senior Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114424389
- **Authorized official:** MRS. KARI ANN GOMEZ (MANAGER)
- **Authorized official phone:** (813) 659-6093

## Contact information

- **Practice address:** 810 E MAIN ST, LAKELAND, FL 33801-5127
- **Practice address phone:** (863) 937-1500
- **Practice address fax:** (863) 937-1505
- **Mailing address:** 810 E MAIN ST, LAKELAND, FL 33801-5127
- **Mailing address phone:** (863) 937-1500
- **Mailing address fax:** (863) 937-1505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | FL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/12/2018
- **Last updated:** 09/21/2023