# INTERIM HEALTHCARE OF LEESBURG, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Interim Healthcare of Leesburg
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962758961
- **Authorized official:** MR. KENNETH H. SCHULTZ (CEO)
- **Authorized official phone:** (407) 645-3211

## Contact information

- **Practice address:** 9738 US HIGHWAY 441, SUITE 103, LEESBURG, FL 34788-3974
- **Practice address phone:** (352) 326-0400
- **Practice address fax:** (352) 365-1521
- **Mailing address:** 1890 STATE ROAD 436, SUITE 300, WINTER PARK, FL 32792-2228
- **Mailing address phone:** (407) 645-3211
- **Mailing address fax:** (407) 628-2853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 20572096 | FL | — |
| 251E00000X | Home Health Agency | 20575095 | FL | — |
| 251E00000X | Home Health Agency | 20576096 | FL | — |
| 251E00000X | Home Health Agency | 20578096 | FL | Yes |

## Other

- **Enumeration date:** 07/27/2012
- **Last updated:** 02/18/2016