# LIDEYSA PATIENT CARE INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lideysa Callejas Adult Family Care Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750711768
- **Authorized official:** MS. LIDEYSA CALLEJAS (OWNER)
- **Authorized official phone:** (352) 321-1880

## Contact information

- **Practice address:** 10950 GUILFORD RD, MINNEOLA, FL 34715-9087
- **Practice address phone:** (352) 321-1880
- **Mailing address:** 10950 GUILFORD RD, MINNEOLA, FL 34715-9087
- **Mailing address phone:** (352) 321-1880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 6906577 | FL | Yes |

## Other

- **Enumeration date:** 11/13/2013
- **Last updated:** 11/13/2013