Organization
ASORAL CORP
Active
Other names
Bolt Staffing
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN LAROSA PRYCE BENTHAM (CEO)
(888) 819-2088
Entity
Organization
Contact information
Practice address
6900 TAVISTOCK LAKES BLVD, SUITE 400, ORLANDO, FL 32827-7589
(888) 819-2088
Mailing address
PO BOX 111, LOUGHMAN, FL 33858-0111
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
234141
FL
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
234141
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
611201
—
FL
Enumeration date
10/01/2015
Last updated
02/15/2016
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