Organization
WISDOM HOMEMAKER & COMPANION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA DAVIS (PRESIDENT)
(850) 566-4682
Entity
Organization
Contact information
Practice address
1747 FL GA HWY, HAVANA, FL 32333-4591
(850) 566-4682
Mailing address
1197 GLADE RD, HAVANA, FL 32333-3618
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
233727
FL
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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