Healthcare Provider Details

I. General information

NPI: 1841317278
Provider Name (Legal Business Name): MSN INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 02/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2756 W OAKLAND PARK BLVD
OAKLAND PARK FL
33311-1336
US

IV. Provider business mailing address

9370 NW 13TH ST
PLANTATION FL
33322-4304
US

V. Phone/Fax

Practice location:
  • Phone: 954-714-6064
  • Fax: 954-714-0299
Mailing address:
  • Phone: 954-714-6064
  • Fax: 954-714-0299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number299991335
License Number StateFL

VIII. Authorized Official

Name: MS. PATRICIA BARBARIA SAUNDERS
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 954-714-6064