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Organization

VANTAGE HOME CARE LLC

Active
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Organization

VANTAGE HOME CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OLAJUMOKE OLAJUMOKE (OWNER)
(973) 454-1952
Entity
Organization

Contact information

Practice address
3001 N ROCKY POINT DR E STE 200, TAMPA, FL 33607-5806
(973) 454-1952
Mailing address
24523 FOREST CANOPY DR, KATY, TX 77493-1886
(973) 454-1952

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
261QD1600X
Developmental Disabilities Clinic/Center
311ZA0620X
Adult Care Home Facility
320800000X
Mental Illness Community Based Residential Treatment Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other

Enumeration date
03/29/2018
Last updated
03/29/2018
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