Healthcare Provider Details
I. General information
NPI: 1780861591
Provider Name (Legal Business Name): XM CONTRACTORS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/23/2008
Last Update Date: 01/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3802 CORAL TREE CIR
COCONUT CREEK FL
33073-4426
US
IV. Provider business mailing address
3802 CORAL TREE CIRCLE
POMPANO BEACH FL
33073
US
V. Phone/Fax
- Phone: 954-773-3652
- Fax:
- Phone: 954-773-3652
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171WH0202X |
| Taxonomy | Home Modifications Contractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PATRICIA
FILOMENA
MERLINI
Title or Position: PRESIDENT
Credential: BS, CRC
Phone: 954-773-3652