Organization
AGELESS PLACEMENTS EAST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIERDRE JANINE JOHNCOX (CFO)
(813) 662-2562
Entity
Organization
Contact information
Practice address
710 OAKFIELD DR STE 135, BRANDON, FL 33511-4931
(813) 662-2562
(813) 655-2625
Mailing address
710 OAKFIELD DR STE 135, BRANDON, FL 33511-4931
(813) 662-2562
(813) 655-2625
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003913100
—
FL
Enumeration date
03/04/2011
Last updated
07/21/2022
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