Organization
HAPPY ORCHIDS HOME SERVICES
Active
Other names
Lisandra Monteagudo
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISANDRA MONTEAGUDO (OWNER/ADMINISTRATOR)
(813) 316-5839
Entity
Organization
Contact information
Practice address
6403 N ROME AVE, TAMPA, FL 33604-6353
(813) 316-5839
Mailing address
6403 N ROME AVE, TAMPA, FL 33604-6353
(813) 316-5839
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
020492400
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020492400
—
FL
Enumeration date
03/01/2018
Last updated
06/16/2018
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