Organization
HOUSE OF ESTHER FAMILY CARE & SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA MOMENT (OWNER)
(813) 244-2547
Entity
Organization
Contact information
Practice address
1227 RUSHGROVE CIR, DOVER, FL 33527-4950
(813) 244-2547
Mailing address
1227 RUSHGROVE CIR, DOVER, FL 33527-4950
(813) 244-2547
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L22000062395
DOCUMENT ID
FL
Enumeration date
02/16/2022
Last updated
02/16/2022
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