Organization
HEALTH AND HOME CARE SERVICES OF LAKE HELEN LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE DIANE COSTEN HHA (CERTIFIED HOME HEALTH AIDE)
(386) 473-2010
Entity
Organization
Contact information
Practice address
105 CHESTNUT LN, LAKE HELEN, FL 32744-3109
(386) 473-2010
Mailing address
105 CHESTNUT LN, LAKE HELEN, FL 32744-3109
(386) 473-2010
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
130098
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130098
HOME HEALTH AIDE CERTIFICATION
FL
01
—
3269
ALPI TECHNICAL EDUCATION CENTER
FL
Enumeration date
03/25/2014
Last updated
03/25/2014
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