| Organization Name: | ORANGE BLOSSOM HOME CARE CORP. |
| NPI Number: | 1548516057 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ODALYS GONZALEZ (ADMINISTRATOR) |
| Mailing Address: | 1230 Louisiana St Wauchula |
| State: | FL US |
| Postal Code: | 338735729 |
| Phone Number: | 8637736829 |
| Fax Number: | 8637733587 |
| NPI Enumeration Date: | 08/02/2012 |
| NPI Last Update Date: | 08/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | AL#12043 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |