Individual
LUCENA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 PEACE CT, KISSIMMEE, FL 34759-5373
(914) 227-5698
(863) 226-3931
Mailing address
430 PEACE CT, KISSIMMEE, FL 34759-5373
(914) 227-5698
(863) 226-3931
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427503341
NPI
FL
Enumeration date
08/20/2016
Last updated
07/04/2022
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