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General NPI Number Information
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NPI Number | 1720086044
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Entity Type | Organization
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Legal Business Name | MED-CARE HOME HEALTH SERVICES INC
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 02/25/2021
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Provider Practice Location Address
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Address Line | 4101 NW 4TH ST STE 206
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City | PLANTATION
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State | FL
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Zip | 33317-2840
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Country | US
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Telephone | 954-735-7332
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Fax | 954-731-8113
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Provider Business Mailing Address
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Address Line | 4101 NW 4TH ST STE 206
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City | PLANTATION
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State | FL
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Zip | 33317-2840
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Country | US
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Telephone | 954-735-7332
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Fax | 954-731-8113
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. WILFRED BRACERAS
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Credential |
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Telephone | 305-863-8860
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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 | HHA 215310961
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License Number State | FL
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