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Organization
YOUNG-LD SQUARED OUTPATIENT HEALTHCARE LLC
Active
Organization
YOUNG-LD SQUARED OUTPATIENT HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LASHAMA ELIJISH-YOUNG DEJESUS RN (REGISTERED NURSE/CEO)
(386) 983-8488
Entity
Organization
Contact information
Practice address
673 N HIGHWAY 17, PALATKA, FL 32177-8644
(386) 983-8488
Mailing address
673 N HIGHWAY 17, PALATKA, FL 32177-8644
(386) 983-8488
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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