Organization
BLENDED FAMILY RESTORATIVE AND HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANITA HOWARD (OWNER)
(863) 585-3466
Entity
Organization
Contact information
Practice address
1880 15TH CT NW, WINTER HAVEN, FL 33881-1308
(863) 585-3466
Mailing address
1880 15TH CT NW, WINTER HAVEN, FL 33881-1308
(863) 585-3466
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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