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KEEPING YOUR ROSE TIMELESS HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LUCIAN CHAVETT KNOTT HHA /APD (ADMINISTRATOR)
(813) 284-8670
Entity
Organization

Contact information

Practice address
2010 E 148TH AVE APT 22, LUTZ, FL 33549-4601
(813) 284-8670
Mailing address
2010 E 148TH AVE APT 22, LUTZ, FL 33549-4601
(813) 284-8670

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
27V215
FL

Other

Enumeration date
08/25/2015
Last updated
08/25/2015
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