Organization
HOUSE OF DISTINCTION, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LULA FRAZIER (OWNER)
(352) 460-3529
Entity
Organization
Contact information
Practice address
711 GOSS AVE, LEESBURG, FL 34748-4511
(352) 460-3529
(352) 805-4990
Mailing address
711 GOSS AVE, LEESBURG, FL 34748-4511
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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