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Organization

LIFE LONG HOME CARE CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DAMARIS LOPEZ (PRESIDENT)
(813) 843-0022
Entity
Organization

Contact information

Practice address
3105 W WATERS AVE STE 309, TAMPA, FL 33614-2872
(813) 843-0022
Mailing address
3105 W WATERS AVE STE 309, TAMPA, FL 33614-2872
(813) 843-0022

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
01/08/2021
Last updated
11/08/2021
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