Organization · NPI-2

Altum Home Care Services, LLC

In Home Supportive Care · Lakeland, FL

NPI number1295406247
StatusActive
Last updated in NPPESOct 15, 2021

Details

NPI
1295406247
Entity type
Organization (NPI-2)
Legal business name
Altum Home Care Services, LLC
Organization subpart
No
Enumeration date
Sep 21, 2021
Certification date
Oct 15, 2021
Last updated
Oct 15, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
3747P1801X Technician, Personal Care Attendant––

Practice location

6155 S Florida Ave Ste 15a
Lakeland, FL 33813-3323

Phone 630-755-1653

Mailing address

908 S Florida Ave Ste 206
Lakeland, FL 33803-1177

Phone 630-755-1653

Authorized official

Rufino Lugod
Owner/President/Administrator
6307551653

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