Organization
MKMAGAGENCY, LLC
Active
Other names
Home Instead Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARI ANN GOMEZ (MANAGER)
(813) 659-6093
Entity
Organization
Contact information
Practice address
810 E MAIN ST, LAKELAND, FL 33801-5127
(863) 937-1500
(863) 937-1505
Mailing address
810 E MAIN ST, LAKELAND, FL 33801-5127
(863) 937-1500
(863) 937-1505
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
FL
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/12/2018
Last updated
09/21/2023
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