Organization
ADVANTAGE PRIVATE HOME HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGALINE LAZARRE RN (CEO)
(863) 603-9777
Entity
Organization
Contact information
Practice address
607 S MISSOURI AVE, LAKELAND, FL 33815-4735
(863) 603-9777
(863) 603-9779
Mailing address
607 S MISSOURI AVE, LAKELAND, FL 33815-4735
(863) 603-9777
(863) 603-9779
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
30211335
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30211335
AHCA LICENSE NUMBER
FL
Enumeration date
08/01/2008
Last updated
08/01/2008
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