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NPI Code Detail

MEDICARE: PSN HEALTH CARE CORP

MEDICARE: PSN HEALTH CARE CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency299992845FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1299992845OTHERFLAHCA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699969519
Entity Type Code : Organization
Provider Name (Legal Business Name) : PSN HEALTH CARE CORP
Provider Business Mailing Address
First Line : 17670 NW 78TH AVE
Second Line : SUITE 213
City : HIALEAH
State : FL
Zip : 33015-3664
Country : US
Telephone Number : 305-698-5295
Fax Number : 305-698-5325
Provider Business Practice Location Address
First Line : 17670 NW 78TH AVE
Second Line : SUITE 213
City : HIALEAH
State : FL
Zip : 33015-3664
Country : US
Telephone Number : 305-698-5295
Fax Number : 305-698-5325
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. LEYDI FALCON
Credential : RN
Telephone Number : 305-698-5295
Provider Enumeration Date : 09/04/2007
Last Update Date : 01/24/2012

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Directions to “PSN HEALTH CARE CORP ” Practice Location

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