Organization
CREDENCE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA YOUNG (CEO)
(855) 951-1008
Entity
Organization
Contact information
Practice address
887 KNIGHTSBRIDGE CIRCLE, DAVENPORT, FL 33896
(855) 951-1008
Mailing address
8297 CHAMPIONS GATE BLVD, CHAMPIONS GATE, FL 33896-8387
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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