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Organization
NICHOLAS CUMMINGS DBA QUALITY CARE LIVING PHASE I
Active
Organization
NICHOLAS CUMMINGS DBA QUALITY CARE LIVING PHASE I
Active
Other names
Quality Care Living Phase I
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS CUMMINGS (OWNER/PROVIDER)
(352) 504-7479
Entity
Organization
Contact information
Practice address
1805 N ORANGE ST, MOUNT DORA, FL 32757-3013
(352) 504-7479
(352) 735-1904
Mailing address
1805 N ORANGE ST, MOUNT DORA, FL 32757-3013
(352) 504-7479
(352) 735-1904
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018025200
—
FL
Enumeration date
01/29/2018
Last updated
01/29/2018
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