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Organization

ALL CARE COMPANIONSHIP & HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIEVES SHELBY MBA, HCM (ADMINISTRATOR/OWNER)
(682) 561-3973
Entity
Organization

Contact information

Practice address
11128 LAKEWOOD POINTE DR APT 104, SEFFNER, FL 33584-4376
(682) 561-3973
Mailing address
PO BOX 3973, BRANDON, FL 33509-3973
(682) 561-3973

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105399800
FL
Enumeration date
09/13/2018
Last updated
03/09/2020
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