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Organization
UNIVERSAL HOME CARE, INC
Active
Organization
UNIVERSAL HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY LILAVOIS (ADMINISTRATOR)
(772) 284-0301
Entity
Organization
Contact information
Practice address
4022 SW BAMBERG ST, PORT ST LUCIE, FL 34953-7029
(772) 777-4123
(772) 249-5819
Mailing address
4022 SW BAMBERG ST, PORT ST LUCIE, FL 34953-7029
(772) 777-4123
(772) 249-5819
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12469
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002582900
—
FL
Enumeration date
03/13/2014
Last updated
03/13/2014
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