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Organization
MICKEYCAREPLUS HEALTH CARE SERVICES LLC
Active
Organization
MICKEYCAREPLUS HEALTH CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANETTE GRAHAM (PRESIDENT)
(813) 822-1752
Entity
Organization
Contact information
Practice address
1717 E CAYUGA ST, TAMPA, FL 33610-6025
(813) 822-1752
Mailing address
1717 E CAYUGA ST, TAMPA, FL 33610-6025
(813) 822-1752
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
12/28/2021
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