# OUR HOUSE WON

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

## Provider details

- **NPI number:** 1780037390
- **Authorized official:** MS. DOROTHY JACKSON (PRESIDENT)
- **Authorized official phone:** (407) 929-4895

## Contact information

- **Practice address:** 4215 ROBBINS AVE, ORLANDO, FL 32808-2108
- **Practice address phone:** (407) 929-4895
- **Mailing address:** 4215 ROBBINS AVE, ORLANDO, FL 32808-2108
- **Mailing address phone:** (407) 929-4895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 016385700 | FL | Yes |

## Other

- **Enumeration date:** 07/19/2016
- **Last updated:** 07/19/2016