Interim Healthcare Of Leesburg, LLC
Home Health in Gainesville, FL. Organization (NPI-2).
NPI number1407102403
StatusActive
Last updated in NPPESFeb 8, 2016
Details
- NPI
- 1407102403
- Entity type
- Organization (NPI-2)
- Legal business name
- Interim Healthcare Of Leesburg, LLC
- Organization subpart
- No
- Enumeration date
- Jul 27, 2012
- Last updated
- Feb 8, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | 20572096 | FL | Yes |
Other names
- Interim Healthcare Of Gainesville (Doing Business As)
Practice location
3760 Nw 83rd StSuite 2
Gainesville, FL 32606-6020
Phone 352-378-0333 · Fax 407-628-2853
Mailing address
1890 State Road 436Suite 300
Winter Park, FL 32792-2228
Phone 407-645-3211 · Fax 407-628-2853
Authorized official
Kenneth H. Schultz
Cfo
4076453211
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