Organization
AIM IN CARE COMPANION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNALESIA WALLACE (PRESIDENT)
(407) 985-8865
Entity
Organization
Contact information
Practice address
431 E TILLMAN AVE, LAKE WALES, FL 33853-3801
(407) 985-8865
Mailing address
431 E TILLMAN AVE, LAKE WALES, FL 33853-3801
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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