Organization
OUR HOUSE WON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOROTHY JACKSON (PRESIDENT)
(407) 929-4895
Entity
Organization
Contact information
Practice address
4215 ROBBINS AVE, ORLANDO, FL 32808-2108
(407) 929-4895
Mailing address
4215 ROBBINS AVE, ORLANDO, FL 32808-2108
(407) 929-4895
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
016385700
FL
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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