Organization
DOMINION RESOURCE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FOLAKE OLUYEMISI BAMIGBADE (PRESIDENT)
(813) 474-8516
Entity
Organization
Contact information
Practice address
6700 S FLORIDA AVE STE 9, LAKELAND, FL 33813-3310
(863) 940-2910
(863) 940-2979
Mailing address
6700 S FLORIDA AVE STE 9, LAKELAND, FL 33813-3310
(813) 474-8516
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/20/2021
Last updated
04/24/2024
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