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Individual

INGRID M THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
15 E MAGNOLIA AVE STE 3B, EUSTIS, FL 32726-3472
(352) 617-0777
(352) 251-1911
Mailing address
15 E MAGNOLIA AVE STE 3B, EUSTIS, FL 32726-3472
(352) 617-0777
(352) 251-1911

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251J00000X
Nursing Care Agency
253Z00000X
In Home Supportive Care Agency
261QD1600X
Developmental Disabilities Clinic/Center
372600000X
Adult Companion
374U00000X
Home Health Aide
376J00000X
Homemaker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016930900
FL
Enumeration date
07/09/2022
Last updated
07/09/2022
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