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Organization
LAKE CENTRE HOME CARE, LLC
Active
Organization
LAKE CENTRE HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI DAVIS MBA (COO)
(352) 315-0050
Entity
Organization
Contact information
Practice address
310 MARKET ST, LEESBURG, FL 34748-5135
(352) 315-0050
(352) 315-0059
Mailing address
310 MARKET ST, LEESBURG, FL 34748-5135
(352) 315-0050
(352) 315-0059
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299992424
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299992424
HOME HEALTH AGENCY LICENS
FL
Enumeration date
07/02/2006
Last updated
03/01/2022
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