CCN: 687289 NPI: 1821703661 Organization

INDEPENDENCE HOME HEALTH OF CENTRAL FLORIDA

402 SOUTH KENTUCKY AVENUE
LAKELAND, FL 338013902

Contact Information

Phone 8638755403
Fax 8632688708
Enumeration Date 2023-01-17
Last Updated 2024-07-31

Taxonomies

Code: 251E00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 29460

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 29460

providerType 36

specialPaymentIndicator

carrierCode 09102

localityCode 99