Organization
FLORIDA COMMUNITY HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIDA VANTHA (VP)
(267) 262-3929
Entity
Organization
Contact information
Practice address
172 MCCOY DR, LAKE PLACID, FL 33852-9552
(267) 262-3929
Mailing address
414 DERBY WAY, WILMINGTON, DE 19810-2266
(267) 262-3929
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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