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Organization

PERFECT SOURCE TRAINING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MALIKA LOWE RN (OWNER)
(407) 990-3383
Entity
Organization

Contact information

Practice address
4139 W VINE ST STE 114, KISSIMMEE, FL 34741-4524
(407) 990-3383
Mailing address
4139 W VINE ST STE 114, KISSIMMEE, FL 34741-4524
(407) 990-3383

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
251E00000X
Home Health Agency
251J00000X
Nursing Care Agency
251K00000X
Public Health or Welfare Agency
261QC1500X
Community Health Clinic/Center
261QH0100X
Health Service Clinic/Center
291U00000X
Clinical Medical Laboratory
Primary
305S00000X
Point of Service

Other

Enumeration date
09/13/2021
Last updated
09/13/2021
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