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NPI Code Detail

MEDICARE: GOLDEN AGE HOME CARE OF BROWARD LLC

MEDICARE: GOLDEN AGE HOME CARE OF BROWARD LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health AgencyHH19964839FL
2251E00000XHome Health Agency299992166FL

General Provider Information

NPI Number : 1164560116
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOLDEN AGE HOME CARE OF BROWARD LLC
Provider Business Mailing Address
First Line : 3350 SW 148TH AVE,
Second Line : SUITE 110
City : MIRAMAR
State : FL
Zip : 33027-3237
Country : US
Telephone Number : 954-874-1701
Fax Number : 954-874-1704
Provider Business Practice Location Address
First Line : 3350 SW 148TH AVE,
Second Line : SUITE 110
City : MIRAMAR
State : FL
Zip : 33027-3237
Country : US
Telephone Number : 954-874-1701
Fax Number : 954-874-1704
Authorized Official
Title or Position : ADMINISTRATOR
Name : BARBARA BAEZ
Credential :
Telephone Number : 305-824-0355
Provider Enumeration Date : 02/02/2007
Last Update Date : 04/13/2009

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Directions to “GOLDEN AGE HOME CARE OF BROWARD LLC ” Practice Location

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