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1659044535
PROVISION HOMECARE LLC
LAKELAND, FL
NPI
1659044535
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Entity Type
Organization
Authorized Contact
VALERIE THOMAS
Owner
863-812-6589
Organization Subpart ?
No
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2021-07-27
Last Update Date
2021-07-27
Business Address
PROVISION HOMECARE LLC
1824 CAMBRIDGE COVE CIR APT 201
LAKELAND, FL 33810-0016
Phone number: 863-812-6589
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Mailing Address
PROVISION HOMECARE LLC
1824 CAMBRIDGE COVE CIR APT 201
LAKELAND, FL 33810-0016
Phone number: 863-812-6589
Copy
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