Healthcare Provider Details
I. General information
NPI: 1346025061
Provider Name (Legal Business Name): VISITING NURSE ASSOCIATION OF BROWARD COUNTY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/30/2023
Last Update Date: 08/30/2023
Certification Date: 08/30/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6750 N ANDREWS AVE STE 200 OFFICE 2121
FT LAUDERDALE FL
33309-2180
US
IV. Provider business mailing address
2400 SE MONTEREY RD STE 300
STUART FL
34996-3351
US
V. Phone/Fax
- Phone: 772-286-1844
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JENNIFER
CROW
Title or Position: MANAGING MEMBER
Credential:
Phone: 772-286-1844