Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEONDRA V BURCH
Active Sole ProprietorKEONDRA V BURCH is a In Home Supportive Care Agency healthcare provider located in LADY LAKE, Florida. NPI 1578075180 is currently active in the NPPES registry. Verify at CMS.
In Home Supportive Care Agency · LADY LAKE, FL
Registration Details
- NPI Number
- 1578075180
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 5, 2017 (8.8166114845157 yrs)
- Last Updated
- Nov 5, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
797 TEAGUE TRL APT 13207LADY LAKE, FL, 321593152Browse FL providers · Browse ZIP 32159
- Phone
- 3526025541
- Primary Specialty
-
In Home Supportive Care Agency
253Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.