# MILDRED LANE HOME CARE SERVICES LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720869159
- **Authorized official:** JAMIA GILMORE (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (863) 409-7148

## Contact information

- **Practice address:** 1401 ROBERT KING HIGH DR, LAKELAND, FL 33805-2643
- **Practice address phone:** (863) 409-7148
- **Mailing address:** 1401 ROBERT KING HIGH DR, LAKELAND, FL 33805-2643
- **Mailing address phone:** (863) 409-7148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/11/2023
- **Last updated:** 10/11/2023