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General NPI Number Information
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NPI Number | 1790100535
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Entity Type | Organization
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Legal Business Name | HEAVEN CARE NURSING AGENCY
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Dates
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Enumeration Date | 03/04/2014
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Last Update Date | 03/04/2014
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Provider Practice Location Address
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Address Line | 20295 NW 2ND AVE SUITE 301
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-2550
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Country | US
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Telephone | 754-400-0887
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Fax |
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Provider Business Mailing Address
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Address Line | 20295 NW 2ND AVE SUITE 301
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-2550
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Country | US
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Telephone | 754-400-0887
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MIREILLE JOSEPH
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Credential |
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Telephone | 786-356-4724
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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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