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General NPI Number Information
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NPI Number | 1144557695
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Entity Type | Organization
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Legal Business Name | A FAMILY MEMBER HOMECARE CORP.
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Dates
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Enumeration Date | 11/04/2009
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Last Update Date | 04/05/2010
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Provider Practice Location Address
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Address Line | 2525 N STATE ROAD 7 STE 110
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3262
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Country | US
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Telephone | 954-986-5090
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Fax | 954-986-5091
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Provider Business Mailing Address
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Address Line | 2525 N STATE ROAD 7 STE 110
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3262
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Country | US
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Telephone | 954-986-5090
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Fax | 954-986-5091
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. VERONICA VELASQUEZ
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Credential |
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Telephone | 954-986-5090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 299991692
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License Number State | FL
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