Organization
HONRANDO NUESTRAS CANAS LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANA LUISA GONZALEZ CRUZ (MRG)
(863) 812-3961
Entity
Organization
Contact information
Practice address
1845 ALTERNATE S27, LAKE HAMILTON, FL 33851
(863) 812-3961
Mailing address
PO BOX 5109, HAINES CITY, FL 33845-5109
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8638123961
—
FL
Enumeration date
12/08/2017
Last updated
12/08/2017
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