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General NPI Number Information
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NPI Number | 1225107253
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Entity Type | Organization
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Legal Business Name | PREFERRED CARE HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 03/17/2020
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Provider Practice Location Address
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Address Line | 13000 SW 72ND STREET. BUILDING 100 SUITE 145
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City | MIAMI
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State | FL
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Zip | 33143
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Country | US
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Telephone | 305-275-7573
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Fax | 305-275-7058
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Provider Business Mailing Address
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Address Line | 13000 SW 72ND STREET. BUILDING 100 SUITE 145
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City | MIAMI
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State | FL
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Zip | 33143
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Country | US
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Telephone | 305-275-7573
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Fax | 305-275-7058
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Authorized Official
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Title or Position | OWNER
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Name | MS. VIVIAN C MELLEY
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Credential | R.N.
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Telephone | 305-275-7573
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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 | 299992075
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License Number State | FL
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