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NPI Code Detail

MEDICARE: HOMEWOOD HOME HEALTH LLC

MEDICARE: HOMEWOOD HOME HEALTH LLC
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 Agency299993841FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1299993841OTHERFLAGENCY FOR HEALTH CARE ADMINISTRATION

General Provider Information

NPI Number : 1821352063
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOMEWOOD HOME HEALTH LLC
Provider Business Mailing Address
First Line : 6894 LAKE WORTH RD
Second Line : SUITE 207
City : LAKE WORTH
State : FL
Zip : 33467-2964
Country : US
Telephone Number : 561-275-7500
Fax Number : 561-275-7575
Provider Business Practice Location Address
First Line : 6894 LAKE WORTH RD
Second Line : SUITE 207
City : LAKE WORTH
State : FL
Zip : 33467-2964
Country : US
Telephone Number : 561-275-7500
Fax Number : 561-275-7575
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. MATHEW JOHN PAREL
Credential : PT
Telephone Number : 954-973-3800
Provider Enumeration Date : 07/03/2012
Last Update Date : 07/03/2012

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Directions to “HOMEWOOD HOME HEALTH LLC ” Practice Location

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