Organization
MLS HOMEMAKER/COMPANION SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAGNOLIA SOLOMON (OWNER)
(352) 603-0126
Entity
Organization
Contact information
Practice address
1406 COUNTY ROAD 228, WILDWOOD, FL 34785
(352) 571-0492
Mailing address
1406 COUNTY ROAD 228, WILDWOOD, FL 34785-8507
(352) 571-0492
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
233935
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015196100
—
FL
Enumeration date
11/09/2015
Last updated
11/09/2015
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