Organization
TOTAL RESTORATION HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZY HANAN PETER (DIRECTOR OF NURSING)
(407) 970-2868
Entity
Organization
Contact information
Practice address
1004 PLAZA DR STE 101, KISSIMMEE, FL 34743-4069
(407) 970-2868
Mailing address
1004 PLAZA DR STE 101, KISSIMMEE, FL 34743-4069
(407) 970-2868
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
163WI0500X
Infusion Therapy Registered Nurse
—
—
163WW0000X
Wound Care Registered Nurse
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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