Provider Demographics
NPI:1689102188
Name:LAMENDOLA, DEBORAH (HOMEMAKER SERVICES)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:LAMENDOLA
Suffix:
Gender:F
Credentials:HOMEMAKER SERVICES
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:LAMENDOLA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:WINGS
Mailing Address - Street 1:6584 LANDOVER BLVD
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34608-1313
Mailing Address - Country:US
Mailing Address - Phone:352-585-3351
Mailing Address - Fax:352-596-6141
Practice Address - Street 1:6584 LANDOVER BLVD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34608-1313
Practice Address - Country:US
Practice Address - Phone:352-585-3351
Practice Address - Fax:352-596-6141
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL234830376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL234830Medicaid