Organization
INSPIRE 2 CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATRINA JOHNSON (OWNER)
(863) 677-6031
Entity
Organization
Contact information
Practice address
713 ALABAMA AVE, CLEWISTON, FL 33440-5586
(863) 677-6031
Mailing address
713 ALABAMA AVE, CLEWISTON, FL 33440-5586
(863) 677-6031
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
234056
FL
376J00000X
Homemaker
234056
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016474600
—
FL
Enumeration date
12/19/2016
Last updated
12/19/2016
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