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Organization
MY RESIDENCE CARE PLACE LLC
Active
Organization
MY RESIDENCE CARE PLACE LLC
Active
Other names
MY RESIDENCE CARE PLAC LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KIM RICHELLE JONES (OWNER)
(352) 484-5495
Entity
Organization
Contact information
Practice address
10175 COUNTY ROAD 229, OXFORD, FL 34484-3955
(352) 484-5495
(352) 330-0621
Mailing address
10175 COUNTY ROAD 229, OXFORD, FL 34484-3955
(352) 484-5495
(352) 330-0621
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
234865
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017159100
—
FL
Enumeration date
11/29/2017
Last updated
06/16/2018
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