10D2021517 CLIA NUMBER - CHOICE MANOR HOME CARE INC

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Laboratory Demographics

CLIA Number: 10D2021517

Facility Name: CHOICE MANOR HOME CARE INC

Facility Address:
1428 EAST SEMORAN BLVD STE 110
APOPKA, FL
ZIP 32703
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Facility Phone Number: (407) 949-8886

Facility Type: HOME HEALTH AGENCY

Certificate Type: Waiver

NPI Number: 1760789077

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name	Field Value
CLIA Number	10D2021517
LAB Type	HOME HEALTH AGENCY
Facility Name	CHOICE MANOR HOME CARE INC
Street	1428 EAST SEMORAN BLVD STE 110
City	APOPKA
State	FL
ZIP	32703
Phone	(407) 949-8886

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This page was last updated on: 5/11/2023