Organization
SIMPLY SOUTHERN SITTING-FLORIDA STYLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LORRAIN WINGFIELD (OWNER)
(352) 877-2895
Entity
Organization
Contact information
Practice address
15570 NE 39TH CT, CITRA, FL 32113-4773
(352) 877-2895
Mailing address
15570 NE 39TH CT, CITRA, FL 32113-4773
(352) 877-2895
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
09/23/2024
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