Organization
CLASSIC CARE OF FLORIDA, LLC
Active
Other names
Classic Home Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUNE K LEW (CEO)
(352) 314-1885
Entity
Organization
Contact information
Practice address
1504 SOUTH ST, LEESBURG, FL 34748-6630
(352) 314-1885
(352) 314-1890
Mailing address
1504 SOUTH ST, LEESBURG, FL 34748-6630
(352) 314-1885
(352) 314-1890
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299991659
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107786
MEDICARE PROVIDER NUMBER
—
Enumeration date
09/21/2012
Last updated
08/02/2013
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