Organization
INTERIM HEALTHCARE OF LEESBURG, LLC
Active
Other names
Interim Healthcare of Gainesville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH H. SCHULTZ (CFO)
(407) 645-3211
Entity
Organization
Contact information
Practice address
3760 NW 83RD ST, SUITE 2, GAINESVILLE, FL 32606-6020
(352) 378-0333
(407) 628-2853
Mailing address
1890 STATE ROAD 436, SUITE 300, WINTER PARK, FL 32792-2228
(407) 645-3211
(407) 628-2853
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
20572096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20572096
STATE LICENSE
FL
Enumeration date
07/27/2012
Last updated
02/08/2016
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