# PRISTINE HOMECARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mind & Mobility
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992343255
- **Authorized official:** MATEO MARTINEZ (OWNER)
- **Authorized official phone:** (215) 490-5705

## Contact information

- **Practice address:** 1320 N SEMORAN BLVD, SUITE 108, ORLANDO, FL 32807
- **Practice address phone:** (407) 955-9483
- **Mailing address:** 624 EXECUTIVE PARK CT STE 1016A, STE 1016A, APOPKA, FL 32703
- **Mailing address phone:** (215) 490-5705

## Taxonomy

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

## Other

- **Enumeration date:** 12/18/2019
- **Last updated:** 05/11/2023
