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Organization
SUNCOAST LOVING CARE, LLC
Active
Organization
SUNCOAST LOVING CARE, LLC
Active
Other names
Suncoast Healthcare of Manatee
Organization subpart
No
Provider details
NPI number
Authorized official
JOLANTA IZMIRLIYAN (OWNER)
(941) 961-0029
Entity
Organization
Contact information
Practice address
6703 14TH ST W, SUITE 208, BRADENTON, FL 34207
(941) 961-0029
Mailing address
1770 BEN FRANKLIN DR, UNIT 506, SARASOTA, FL 34236-2323
(941) 961-0029
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014138600
—
FL
Enumeration date
10/15/2013
Last updated
06/29/2018
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