Organization
INDEPENDENCE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA KATHRYN DEBOWER (PRESIDENT)
(407) 464-9404
Entity
Organization
Contact information
Practice address
2233 PALM VIEW DR, APOPKA, FL 32712-2438
(407) 464-9404
(407) 464-9404
Mailing address
2233 PALM VIEW DR, APOPKA, FL 32712-2438
(407) 464-9404
(407) 464-9404
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
687866196
—
FL
05
—
687866198
—
FL
Enumeration date
06/29/2005
Last updated
12/15/2008
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