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Organization

BANNER'S LOVING CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREA SEKEIYA BANNER (OWNER)
(772) 206-5815
Entity
Organization

Contact information

Practice address
165 CAROL SUSAN LN, FORT PIERCE, FL 34982-8340
(772) 206-5815
Mailing address
165 CAROL SUSAN LN, FORT PIERCE, FL 34982-8340
(772) 206-5815

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
04/21/2022
Last updated
04/21/2022
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