Healthcare Provider Details

I. General information

NPI: 1841454287
Provider Name (Legal Business Name): PROFESSIONAL NURSES HOMECARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2008
Last Update Date: 07/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 PROMENADE DR STE 201
PEMBROKE PINES FL
33026-6015
US

IV. Provider business mailing address

701 PROMENADE DR STE 201
PEMBROKE PINES FL
33026-6015
US

V. Phone/Fax

Practice location:
  • Phone: 954-437-5546
  • Fax: 954-437-5547
Mailing address:
  • Phone: 954-437-5546
  • Fax: 954-437-5547

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: MRS. GUYLAINE DUNAC
Title or Position: ADMINISTRATOR
Credential:
Phone: 954-437-5546