Organization
ALTUM HOME CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUFINO LUGOD JR. (OWNER/PRESIDENT/ADMINISTRATOR)
(630) 755-1653
Entity
Organization
Contact information
Practice address
6155 S FLORIDA AVE STE 15A, LAKELAND, FL 33813-3323
(630) 755-1653
Mailing address
908 S FLORIDA AVE STE 206, LAKELAND, FL 33803-1177
(630) 755-1653
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
09/21/2021
Last updated
10/15/2021
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