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Organization
MICHELLES COMPANION SERVICE LLC
Active
Organization
MICHELLES COMPANION SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCEDA WELCOME (OWNER)
(352) 225-2035
Entity
Organization
Contact information
Practice address
2512 NE 57TH BLVD LOT 48, GAINESVILLE, FL 32609-5624
(352) 225-2035
(352) 374-8098
Mailing address
2512 NE 57TH BLVD LOT 48, GAINESVILLE, FL 32609-5624
(352) 225-2035
(352) 374-8098
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006643900
—
FL
Enumeration date
12/01/2015
Last updated
12/01/2015
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