MEDICARE: DELICATE HOME HEALTH CARE,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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1194022335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELICATE HOME HEALTH CARE,LLC

Provider Business Mailing Address
First Line	:	10211 W SAMPLE RD
Second Line	:	SUITE 116
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-3972
Country	:	US
Telephone Number	:	754-368-0259
Fax Number	:

Provider Business Practice Location Address
First Line	:	10211 W SAMPLE RD
Second Line	:	SUITE 116
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-3972
Country	:	US
Telephone Number	:	754-368-0259
Fax Number	:

Authorized Official
Title or Position	:	MGR.
Name	:	MR. MATHEW POOVAN
Credential	:
Telephone Number	:	754-368-0259

Provider Enumeration Date	:	02/24/2011
Last Update Date	:	02/24/2011

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