Individual
STEPHANIE MARIE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
1054 STATE ROAD 60 E, LAKE WALES, FL 33853-4218
(863) 664-1064
Mailing address
1054 STATE ROAD 60 E, LAKE WALES, FL 33853-4218
(863) 664-1064
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
264956
FL
3747P1801X
Personal Care Attendant
264956
FL
374U00000X
Home Health Aide
Primary
264956
FL
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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