# ALTUM HOME CARE SERVICES, LLC

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

## Provider details

- **NPI number:** 1295406247
- **Authorized official:** RUFINO LUGOD JR. (OWNER/PRESIDENT/ADMINISTRATOR)
- **Authorized official phone:** (630) 755-1653

## Contact information

- **Practice address:** 6155 S FLORIDA AVE STE 15A, LAKELAND, FL 33813-3323
- **Practice address phone:** (630) 755-1653
- **Mailing address:** 908 S FLORIDA AVE STE 206, LAKELAND, FL 33803-1177
- **Mailing address phone:** (630) 755-1653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 09/21/2021
- **Last updated:** 10/15/2021