Organization
IDALEN HOMECARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLEY HENDERSON (OWNER)
(407) 247-6737
Entity
Organization
Contact information
Practice address
213 MELJANE DR, WINTER GARDEN, FL 34787
(407) 719-1086
(407) 309-3734
Mailing address
213 MELJANE DR, WINTER GARDEN, FL 34787-3388
(407) 719-1086
(407) 309-3734
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
232995
FL
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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