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Organization
LIFE CARE HOME HEALTH SERVICES LLC
Active
Organization
LIFE CARE HOME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES W EYER (SENIOR DIRECTOR)
(561) 272-5866
Entity
Organization
Contact information
Practice address
445 DOUGLAS AVE STE 1005, ALTAMONTE SPRINGS, FL 32714-2516
(407) 682-3240
(407) 682-3763
Mailing address
445 DOUGLAS AVE STE 1005, ALTAMONTE SPRINGS, FL 32714-2516
(407) 682-3240
(407) 682-3763
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
20647096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D0922849
CLIA WAIVER NUMBER
FL
01
—
20647096
HHA LICENSE NUMBER
FL
Enumeration date
05/15/2007
Last updated
07/20/2010
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