Organization
BAY AREA DIRECT CLIENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESHAE MARTIN (ADMINISTRATIVE DIRECTOR)
(813) 679-5122
Entity
Organization
Contact information
Practice address
4700 MILLENIA BLVD STE 500, ORLANDO, FL 32839-6019
(813) 679-5122
(564) 524-5855
Mailing address
2105 ROANOKE SPRINGS DR, RUSKIN, FL 33570-6312
(813) 585-7708
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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