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10D2149229 CLIA NUMBER - MKMAGAGENCY, LLC DBA HOME INSTEAD SENIOR CARE

Laboratory Demographics

CLIA Number: 10D2149229

Facility Name: MKMAGAGENCY, LLC DBA HOME INSTEAD SENIOR CARE

Facility Address:
810 E MAIN STREET
LAKELAND, FL
ZIP 33801
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Facility Phone Number: 813 659-6093

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1114424389

Taxonomy: 253Z00000X - In Home Supportive Care
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

CLIA Record

Field Name Field Value
CLIA Number 10D2149229
LAB Type Home Health Agency
Facility Name MKMAGAGENCY, LLC DBA HOME INSTEAD SENIOR CARE
Street 810 E MAIN STREET
City LAKELAND
State FL
ZIP 33801
Phone 813 659-6093
CertificateType 4
CertificateEffectiveDate 5/29/2022
CertificateExpirationDate 5/28/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024