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Organization

ORANGE BLOSSOM HOME CARE CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ODALYS GONZALEZ (ADMINISTRATOR)
(863) 773-6829
Entity
Organization

Contact information

Practice address
1230 LOUISIANA ST, WAUCHULA, FL 33873-5729
(863) 773-6829
(863) 773-3587
Mailing address
1230 LOUISIANA ST, WAUCHULA, FL 33873-5729
(863) 773-6829
(863) 773-3587

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
AL#12043
FL

Other

Enumeration date
08/02/2012
Last updated
08/06/2012
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