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General NPI Number Information
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NPI Number | 1407806342
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Entity Type | Organization
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Legal Business Name | J C FAMILY HOME HEALTH CARE.INC
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2500 NW 79TH AVE SUITE # 222
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City | DORAL
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State | FL
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Zip | 33122-1071
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Country | US
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Telephone | 305-716-6878
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Fax | 305-716-6879
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Provider Business Mailing Address
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Address Line | 2500 NW 79TH AVE SUITE # 222
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City | DORAL
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State | FL
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Zip | 33122-1071
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Country | US
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Telephone | 305-716-6878
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Fax | 305-716-6879
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MISS JANETTE GRANDA
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Credential | CEO
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Telephone | 305-978-4079
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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 | FL
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