Organization
TRIDENT HEALTH CARE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKEYAH MONIQUE STARKS CNA/MA (CARGIVER)
(313) 929-9747
Entity
Organization
Contact information
Practice address
1100 US HIGHWAY 27 UNIT 137642, CLERMONT, FL 34713-4107
(539) 235-6684
Mailing address
PO BOX 137642, CLERMONT, FL 34713-7642
(313) 926-9747
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
376K00000X
Nurse's Aide
Primary
—
—
385H00000X
Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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