# ORANGE BLOSSOM HOME CARE CORP.

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

## Provider details

- **NPI number:** 1548516057
- **Authorized official:** ODALYS GONZALEZ (ADMINISTRATOR)
- **Authorized official phone:** (863) 773-6829

## Contact information

- **Practice address:** 1230 LOUISIANA ST, WAUCHULA, FL 33873-5729
- **Practice address phone:** (863) 773-6829
- **Practice address fax:** (863) 773-3587
- **Mailing address:** 1230 LOUISIANA ST, WAUCHULA, FL 33873-5729
- **Mailing address phone:** (863) 773-6829
- **Mailing address fax:** (863) 773-3587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | AL\#12043 | FL | Yes |

## Other

- **Enumeration date:** 08/02/2012
- **Last updated:** 08/06/2012