Organization
LJS HOMEMAKER AND COMPANION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LETECIA DENISE JAMES SAMUELS (OWNER/ADMINISTRATOR)
(407) 723-3412
Entity
Organization
Contact information
Practice address
6220 S ORANGE BLOSSOM TRL STE 143, ORLANDO, FL 32809-4677
(407) 723-3412
Mailing address
6220 S ORANGE BLOSSOM TRL STE 143, ORLANDO, FL 32809-4677
(407) 723-3412
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
234784
AGENCY OF HEALTH CARE ADMINISTRATION
FL
Enumeration date
10/16/2023
Last updated
10/16/2023
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