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Organization

LIDEYSA PATIENT CARE INC.

Active
Other names
Lideysa Callejas Adult Family Care Home
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LIDEYSA CALLEJAS (OWNER)
(352) 321-1880
Entity
Organization

Contact information

Practice address
10950 GUILFORD RD, MINNEOLA, FL 34715-9087
(352) 321-1880
Mailing address
10950 GUILFORD RD, MINNEOLA, FL 34715-9087
(352) 321-1880

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906577
FL

Other

Enumeration date
11/13/2013
Last updated
11/13/2013
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