Organization
MANCHESTER HOME CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE JOHNSTON ETC (ADMINISTRATOR)
(239) 444-6914
Entity
Organization
Contact information
Practice address
706 FOX TRAIL CT, LEHIGH ACRES, FL 33974-5555
(239) 444-6914
Mailing address
706 FOX TRAIL CT, LEHIGH ACRES, FL 33974-5555
(239) 444-6914
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
232666
FL
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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