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General NPI Number Information
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NPI Number | 1417810813
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Entity Type | Organization
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Legal Business Name | NETTY'S HOMECARE, INC.
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 8520 NW 46TH CT
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City | LAUDERHILL
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State | FL
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Zip | 33351-5425
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Country | US
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Telephone | 954-309-6858
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Fax | 754-551-6178
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Provider Business Mailing Address
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Address Line | 3338 NW 22ND ST
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33311-2714
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Country | US
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Telephone | 954-309-6858
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Fax | 754-551-6178
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Authorized Official
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Title or Position | PRESIDENT
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Name | BLOSSOM FRANCICO MARSHALL
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Credential |
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Telephone | 954-309-6858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 376G00000X
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Taxonomy Name | Nursing Home Administrator
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License Number |
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License Number State |
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