# RESTORE HEALTH SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Restore Home Health Agency
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679027858
- **Authorized official:** JENNIFER MERRITT (ADMINISTRATOR)
- **Authorized official phone:** (352) 508-5915

## Contact information

- **Practice address:** 4400 N HIGHWAY 19A STE 9, MOUNT DORA, FL 32757-2022
- **Practice address phone:** (352) 589-0357
- **Mailing address:** 4400 N HIGHWAY 19A STE 9, MOUNT DORA, FL 32757-2022
- **Mailing address phone:** (352) 589-0357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/05/2016
- **Last updated:** 05/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 104831100 | — | FL |
| 01 | — | PENDING | PENDING | FL |