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Organization
WINN-FUL GRACE HOMECARE SERVICE INC
Active
Organization
WINN-FUL GRACE HOMECARE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WINNIFRED M MCCALLA (OWNER)
(863) 812-7724
Entity
Organization
Contact information
Practice address
1104 BARTOW RD APT H85, LAKELAND, FL 33801-5850
(863) 812-7724
Mailing address
1104 BARTOW RD APT H85, LAKELAND, FL 33801-5850
(863) 812-7724
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010465800
—
FL
Enumeration date
04/12/2016
Last updated
04/12/2016
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