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NPI 1457554669

NPI 1457554669 : YC HOME HEALTH CARE SERVICES INC : VIRGINIA GARDENS, FL

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General NPI Number Information
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    NPI Number           |    1457554669
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    Entity Type          |    Organization 
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    Legal Business Name  |    YC HOME HEALTH CARE SERVICES INC 
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Dates
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    Enumeration Date     |    06/06/2007
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    Last Update Date     |    12/26/2007
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Provider Practice Location Address
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    Address Line         |    6355 NW 36TH ST SUITE 502
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    City                 |    VIRGINIA GARDENS
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    State                |    FL
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    Zip                  |    33166-7027
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    Country              |    US
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    Telephone            |    305-871-8371
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    Fax                  |    305-871-8374
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Provider Business Mailing Address
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    Address Line         |    6355 NW 36TH ST SUITE 502
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    City                 |    VIRGINIA GARDENS
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    State                |    FL
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    Zip                  |    33166-7027
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    Country              |    US
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    Telephone            |    305-871-8371
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    Fax                  |    305-871-8374
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     YUREILIS P CARRASCO 
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    Credential           |    
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    Telephone            |    305-871-8371
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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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