Brittany Camille

Individual provider Active NPI In Home Supportive Care Agency · Lake Wales, FL

NPI 1386424869 · NPPES record last updated Oct 3, 2023

Key facts

NPI
1386424869
Entity type
Individual (NPI type 1)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Practice address
110 Serenity Loop
Lake Wales, FL 33859-6816
Phone
(863) 944-6868
NPI assigned
Oct 3, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X FL Yes

Addresses

Primary practice location

110 Serenity Loop
Lake Wales, FL 33859-6816

Mailing address

110 Serenity Loop Apt 102
Lake Wales, FL 33859-6817
Phone (406) 403-2549

Other providers in Lake Wales, FL

All providers in Lake Wales, FL · In Home Supportive Care Agency in Florida

Sources for this page

Verify at the official NPI Registry.