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Organization

ATHALIAH HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GARDWINE BARBARA ROMAIN (CEO)
(407) 791-7580
Entity
Organization

Contact information

Practice address
750 S ORANGE BLOSSOM TRL STE 140, ORLANDO, FL 32805-3159
(407) 791-7580
(321) 219-7192
Mailing address
750 S ORANGE BLOSSOM TRL STE 140, ORLANDO, FL 32805-3159
(407) 791-7580
(321) 219-7192

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
343900000X
Non-emergency Medical Transport (VAN)
385H00000X
Respite Care

Other

Enumeration date
01/25/2024
Last updated
02/15/2024
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