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1528840279
SOURCE OF LIFE CARE LLC
LARGO, FL
NPI
1528840279
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Entity Type
Organization
Authorized Contact
PERPETUE WANYANDWE
Administrator
727-426-0966
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2023-10-17
Last Update Date
2023-10-17
Business Address
SOURCE OF LIFE CARE LLC
12823 138TH LN
LARGO, FL 33774-2439
Phone number: 727-426-0966
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Mailing Address
SOURCE OF LIFE CARE LLC
12823 138TH LN
LARGO, FL 33774-2439
Phone number: 727-426-0966
Copy
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