Organization
CLEMONS GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA VIRGINIA SIMPSON BSN, RN (ADMINISTRATOR)
(813) 810-6844
Entity
Organization
Contact information
Practice address
3111 CLEMONS RD, PLANT CITY, FL 33566-4643
(813) 810-6844
(813) 602-2388
Mailing address
3111 CLEMONS RD, PLANT CITY, FL 33566-4643
(813) 810-6844
(813) 602-2388
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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