Healthcare Provider Details
I. General information
NPI: 1679820989
Provider Name (Legal Business Name): BEST FLORIDA HOME CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/07/2012
Last Update Date: 08/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4304 WARDELL PL
ORLANDO FL
32814-6147
US
IV. Provider business mailing address
4304 WARDELL PL
ORLANDO FL
32814-6145
US
V. Phone/Fax
- Phone: 407-683-0707
- Fax:
- Phone: 407-683-0707
- 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: MS.
MODUPE
O
TUNWASHE
Title or Position: PRESIDENT
Credential: RN
Phone: 916-402-3901