Organization
ALLCARE PRIVATE DUTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORDAN SHANE LYEW KONG (ADMINISTRATOR)
(239) 826-7959
Entity
Organization
Contact information
Practice address
15310 AMBERLY DR STE 250, TAMPA, FL 33647-1642
(813) 541-2912
Mailing address
15310 AMBERLY DR STE 250, TAMPA, FL 33647-1642
(813) 541-2912
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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