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General NPI Number Information
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NPI Number | 1912790064
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Entity Type | Organization
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Legal Business Name | RESTACARE AND SERVICES
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 850 CONCOURSE PWKY S.
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City | MAITLAND
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State | FL
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Zip | 32751
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Country | US
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Telephone | 321-420-2381
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Fax |
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Provider Business Mailing Address
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Address Line | 1070 MONTGOMERY RD # 2034
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-7420
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Country | US
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Telephone | 321-420-2381
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | LOYSSE LEONIS LUMA
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Credential | CNA, HOMEMAKER, HHA
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Telephone | 321-420-2381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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