# OM HEALTH AND LIFE CARE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OM HEALTH AND LIFE CARE SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588271522
- **Authorized official:** KIANDRA HARDEN (ADMINISTRATOR)
- **Authorized official phone:** (561) 506-1447

## Contact information

- **Practice address:** 1661 PALATKA RD SE, PALM BAY, FL 32909-5612
- **Practice address phone:** (561) 506-1447
- **Mailing address:** 1661 PALATKA RD SE, PALM BAY, FL 32909-5612
- **Mailing address phone:** (561) 506-1447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/24/2020
- **Last updated:** 09/24/2020