Organization
HOME COMPANIONS OF LAKE CO., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AVIE LEE KEITH (ACCOUNTS MANAGER)
(352) 483-3086
Entity
Organization
Contact information
Practice address
2785 S BAY ST STE D, EUSTIS, FL 32726-6591
(352) 483-3086
(352) 483-3136
Mailing address
PO BOX 148, TAVARES, FL 32778-0148
(352) 483-3086
(352) 483-3136
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299992225
FL
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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