# GENMAR'S HOME CARE

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

## Provider details

- **NPI number:** 1164079943
- **Authorized official:** MARIA VIRGEN SANTAELLA NURSE (LPN)
- **Authorized official phone:** (813) 679-9469

## Contact information

- **Practice address:** 4784 HICKORY STREAM LN, MULBERRY, FL 33860-7914
- **Practice address phone:** (813) 679-9469
- **Practice address fax:** (863) 943-5201
- **Mailing address:** 4784 HICKORY STREAM LN, MULBERRY, FL 33860-7914
- **Mailing address phone:** (813) 679-9469
- **Mailing address fax:** (863) 943-5201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/26/2019
- **Last updated:** 08/26/2019