Organization
MS PHYLLIS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHYLLIS ALFRED (OWNER/MANAGER)
(352) 321-2727
Entity
Organization
Contact information
Practice address
16903 LAKESIDE DR STE 4, MONTVERDE, FL 34756-3230
(321) 209-1322
(407) 386-7774
Mailing address
1121 STRATTON AVE, GROVELAND, FL 34736-8203
(321) 209-1322
(407) 386-7774
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/16/2021
Last updated
07/24/2023
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