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Organization

IDT HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN HAYES (CHIEF OPERATING OFFICER)
(407) 270-1636
Entity
Organization

Contact information

Practice address
850 CONCOURSE PKWY S STE 200, MAITLAND, FL 32751-6145
(407) 270-1636
Mailing address
850 CONCOURSE PKWY S STE 200, MAITLAND, FL 32751-6145
(407) 270-1636

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
3747P1801X
Personal Care Attendant
374U00000X
Home Health Aide
376J00000X
Homemaker

Other

Enumeration date
10/15/2024
Last updated
01/08/2026
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