Organization
813-522-9755
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL GUAQUETA (OWNER)
(813) 522-9755
Entity
Organization
Contact information
Practice address
2138 REDLEAF DR # B, BRANDON, FL 33510-2041
(813) 522-9755
Mailing address
2138 REDLEAF DR # B, BRANDON, FL 33510-2041
(813) 522-9755
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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