Organization
RESTORE HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MERRITT (ADMINISTRATOR)
(352) 508-5915
Entity
Organization
Contact information
Practice address
927 E ALFRED ST, TAVARES, FL 32778-3401
(352) 508-5915
(352) 508-5916
Mailing address
927 E ALFRED ST, TAVARES, FL 32778-3401
(352) 508-5915
(352) 508-5916
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
30211794
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008882200
—
FL
05
—
010415400
—
FL
Enumeration date
08/07/2013
Last updated
06/28/2016
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