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Organization
SHALAH HOME HEALTH AGENCY INC
Active
Organization
SHALAH HOME HEALTH AGENCY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISMAEL Y LOPEZ REINOSO (OWNER)
(863) 875-5193
Entity
Organization
Contact information
Practice address
1140 6TH ST NW, WINTER HAVEN, FL 33881-4021
(863) 875-5193
(863) 280-0342
Mailing address
1140 6TH ST NW, WINTER HAVEN, FL 33881-4021
(863) 875-5193
(863) 280-0342
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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