Organization
CLARA'S LEGACY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIFFANY BRINKLEY (DIRECTOR)
(407) 960-5601
Entity
Organization
Contact information
Practice address
659 JAMESTOWN BLVD APT 1091, ALTAMONTE SPRINGS, FL 32714-4681
(407) 960-5601
Mailing address
659 JAMESTOWN BLVD APT 1091, ALTAMONTE SPRINGS, FL 32714-4681
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
09/12/2020
Last updated
09/12/2020
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