Organization
INNOVATIVE HOMECARE, LLC.
Active
Other names
Innovative HomeCare, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
LULA M NOLDEN-HILL (OWNER)
(352) 434-1700
Entity
Organization
Contact information
Practice address
1209 KELLOGG DR, TAVARES, FL 32778-4944
(352) 434-1700
(352) 508-9798
Mailing address
1209 KELLOGG DR, TAVARES, FL 32778-4944
(352) 434-1700
(352) 508-9798
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
233478
FL
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352549834
—
FL
Enumeration date
11/17/2015
Last updated
10/31/2023
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