Organization
ESTELLA LOVING CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUERDA ESTELLA (OWNER)
(321) 914-9023
Entity
Organization
Contact information
Practice address
620 DUNDEE RD STE A&B, DUNDEE, FL 33838-4182
(321) 914-9023
(863) 353-6658
Mailing address
665 OGELTHORPE DR, DAVENPORT, FL 33897-6298
(132) 191-4902
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014633400
—
FL
05
—
109090700
—
FL
05
—
111388700
—
FL
Enumeration date
12/19/2016
Last updated
01/22/2025
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