Organization
DIANE'S SPEIAL HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE E. SIMEON (OWNER)
(813) 445-9763
Entity
Organization
Contact information
Practice address
8206 PENNYWELL PL, TAMPA, FL 33615-1625
(813) 445-9763
Mailing address
8206 PENNYWELL PL, TAMPA, FL 33615-1625
(813) 445-9763
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906802
FL
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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