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General NPI Number Information
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NPI Number | 1396590378
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Entity Type | Organization
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Legal Business Name | MEDELLA HOME HEALTH LLC
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Dates
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Enumeration Date | 04/22/2024
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 15800 PINES BLVD STE 341
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1212
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Country | US
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Telephone | 954-569-8698
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Fax | 954-569-8699
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Provider Business Mailing Address
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Address Line | 15800 PINES BLVD STE 341
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1212
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Country | US
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Telephone | 954-569-8698
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Fax | 954-569-8699
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Authorized Official
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Title or Position | OWNER
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Name | MS. MILEIDIS ROQUE PUENTES
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Credential | RN
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Telephone | 786-443-2555
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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 |
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License Number State |
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