Organization
HEALTH LOGISTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN L FERGUSON (OWNER)
(863) 513-2847
Entity
Organization
Contact information
Practice address
2154 MONTICELLO AVE, LAKELAND, FL 33801-6040
(863) 513-2847
Mailing address
2154 MONTICELLO AVE, LAKELAND, FL 33801-6040
(863) 513-2847
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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