Healthcare Provider Details

I. General information

NPI: 1386262624
Provider Name (Legal Business Name): FMC HOME HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2020
Last Update Date: 08/19/2021
Certification Date: 08/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 NE 125TH ST
NORTH MIAMI FL
33161-5611
US

IV. Provider business mailing address

707 NE 125TH ST
NORTH MIAMI FL
33161-5611
US

V. Phone/Fax

Practice location:
  • Phone: 305-762-0848
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MYRLANDE CHARLES
Title or Position: OWNER
Credential:
Phone: 305-762-0848