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Organization

GREATER LIVING HOME HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIE ISIDOR (AUTHORIZED MEMBER/OWNER)
(813) 324-8884
Entity
Organization

Contact information

Practice address
156 E BLOOMINGDALE AVE STE D, BRANDON, FL 33511-8179
(813) 324-8884
Mailing address
156 E BLOOMINGDALE AVE STE D, BRANDON, FL 33511-8179
(813) 324-8884

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
225200000X
Physical Therapy Assistant
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
Primary
251F00000X
Home Infusion Agency
251J00000X
Nursing Care Agency
253Z00000X
In Home Supportive Care Agency
261QD1600X
Developmental Disabilities Clinic/Center
374U00000X
Home Health Aide

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116755700
FL
01
299995480
STATE LICENSE NUMBER
FL
Enumeration date
01/21/2021
Last updated
04/27/2023
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