Individual
DELORES MCBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1502 MEADOWBROOK ST, LAKE PLACID, FL 33852-5723
(863) 243-2896
(863) 531-3572
Mailing address
1502 MEADOWBROOK ST, LAKE PLACID, FL 33852-5723
(863) 243-2896
(863) 531-3572
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6907046
FL
372500000X
Chore Provider
6907046
FL
Other
Enumeration date
01/14/2021
Last updated
04/01/2022
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