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General NPI Number Information
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NPI Number | 1760540009
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Entity Type | Organization
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Legal Business Name | GREEN CROSS HOME CARE SERVICES, INC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12998 SW 33RD ST
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City | MIRAMAR
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State | FL
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Zip | 33027-2805
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Country | US
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Telephone | 954-438-8779
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Fax | 954-438-7736
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Provider Business Mailing Address
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Address Line | 8910 MIRAMAR PKWY STE 305
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City | MIRAMAR
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State | FL
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Zip | 33025-4188
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Country | US
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Telephone | 954-443-4427
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Fax | 954-443-4428
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ALINE LA FORTUNE
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Credential | ARNP
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Telephone | 954-443-4427
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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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