Healthcare Provider Details
I. General information
NPI: 1710985619
Provider Name (Legal Business Name): NEIGHBORLY CARE NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/13/2005
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1015 OMAHA CIR
PALM HARBOR FL
34683-4036
US
IV. Provider business mailing address
5225 TECH DATA DR STE 102
CLEARWATER FL
33760-3133
US
V. Phone/Fax
- Phone: 727-754-1000
- Fax: 727-386-5916
- Phone: 727-573-9444
- Fax: 727-205-7793
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
DAVID
LOMAKA
Title or Position: CEO
Credential:
Phone: 727-573-9444