Organization
EMPOWERING LIVES HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONETTE PATRICE SMITH HOMEHEALTH (OWNER)
(407) 738-7082
Entity
Organization
Contact information
Practice address
6441 CAMELLIA GARDEN DR, APT#101, ORLANDO, FL 32822-6313
(407) 801-1542
(407) 704-1663
Mailing address
6441 CAMELLIA GARDEN DR, APT#101, ORLANDO, FL 32822-6313
(407) 801-1542
(407) 704-1663
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251E00000X
Home Health Agency
Primary
—
FL
Other
Enumeration date
07/12/2016
Last updated
08/04/2016
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