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Organization
RESTORE HEALTH SERVICES INC
Active
Organization
RESTORE HEALTH SERVICES INC
Active
Other names
Restore Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MERRITT (ADMINISTRATOR)
(352) 508-5915
Entity
Organization
Contact information
Practice address
4400 N HIGHWAY 19A STE 9, MOUNT DORA, FL 32757-2022
(352) 589-0357
Mailing address
4400 N HIGHWAY 19A STE 9, MOUNT DORA, FL 32757-2022
(352) 589-0357
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104831100
—
FL
01
—
PENDING
PENDING
FL
Enumeration date
08/05/2016
Last updated
05/22/2020
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