Organization
BEYOND TRUST HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAKICCIA DUNNAGAN (ADMINISTRATOR)
(813) 415-5221
Entity
Organization
Contact information
Practice address
3903 NORTHDALE BLVD STE 100E, TAMPA, FL 33624-1862
(813) 415-5221
Mailing address
16350 BRUCE B DOWNS BLVD STE 47142, TAMPA, FL 33647-3207
(813) 415-5221
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
11/11/2017
Last updated
12/24/2017
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