# FOUR LEAF HOME CARE LLC

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

## Provider details

- **NPI number:** 1255067120
- **Authorized official:** TAMIKA MCCLENDON (OWNER)
- **Authorized official phone:** (786) 326-5899

## Contact information

- **Practice address:** 15800 PINES BLVD STE 3054, PEMBROKE PINES, FL 33027-1212
- **Practice address phone:** (786) 326-5899
- **Mailing address:** 8409 BOTTOM WOODS CIR APT 301, TAMPA, FL 33637-5078
- **Mailing address phone:** (786) 326-5899

## Taxonomy

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

## Other

- **Enumeration date:** 07/25/2022
- **Last updated:** 07/25/2022