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Organization

CARE-AT-HOME INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. INNA ANATOLY LUKYANOV (AS PRESIDENT FOR CARE-AT-HOME INC)
(352) 222-8968
Entity
Organization

Contact information

Practice address
7100 ULMERTON RD, #926, LARGO, FL 33771-0000
(352) 222-8968
(352) 332-7187
Mailing address
PO BOX 358292, GAINESVILLE, FL 32635-8292
(352) 222-8968
(352) 332-7187

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
208D00000X
General Practice Physician
Primary

Other

Enumeration date
09/10/2010
Last updated
09/10/2010
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