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Organization
SHALLOMSTAR HEALTHCARE AGENCY
Active
Organization
SHALLOMSTAR HEALTHCARE AGENCY
Active
Other names
LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RITHE F. LEON (MANAGER)
(407) 443-6703
Entity
Organization
Contact information
Practice address
1214 BARANOVA RD, OCOEE, FL 34761-1867
(407) 443-6703
(407) 347-3692
Mailing address
PO BOX 1222, OCOEE, FL 34761-1222
(407) 443-6703
(407) 347-3692
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
232509
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003567200
—
FL
Enumeration date
05/02/2013
Last updated
05/02/2013
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