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General NPI Number Information
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NPI Number | 1528209806
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Entity Type | Organization
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Legal Business Name | FLORIDA SERVICES HOME CARE, INC.
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Dates
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Enumeration Date | 03/16/2009
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Last Update Date | 03/16/2009
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Provider Practice Location Address
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Address Line | 6915 S RED RD SUITE 213
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3654
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Country | US
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Telephone | 305-663-2551
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Fax | 305-663-2552
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Provider Business Mailing Address
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Address Line | 6915 S RED RD SUITE 213
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3654
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Country | US
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Telephone | 305-663-2551
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Fax | 305-663-2552
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Authorized Official
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Title or Position | ADMINISTRATOR/DIRECTOR OF NURSING
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Name | MS. DIANELIS MANRUFO
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Credential | RN
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Telephone | 756-281-0243
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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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