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Organization
SURE
Active
Organization
SURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LASHUN D WASHINGTON (OWNER)
(813) 404-5618
Entity
Organization
Contact information
Practice address
1703 E 26TH AVE UNIT B, TAMPA, FL 33605-1180
(813) 404-5618
(813) 247-1421
Mailing address
1703 E 26TH AVE UNIT B, TAMPA, FL 33605-1180
(813) 404-5618
(813) 247-1421
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
229966
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
693164296
—
FL
05
—
693164298
—
FL
Enumeration date
01/03/2008
Last updated
06/24/2008
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