Organization
OM HEALTH AND LIFE CARE SERVICES LLC
Active
Other names
OM HEALTH AND LIFE CARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
KIANDRA HARDEN (ADMINISTRATOR)
(561) 506-1447
Entity
Organization
Contact information
Practice address
1661 PALATKA RD SE, PALM BAY, FL 32909-5612
(561) 506-1447
Mailing address
1661 PALATKA RD SE, PALM BAY, FL 32909-5612
(561) 506-1447
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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