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NPI Code Detail

MEDICARE: PERIHEALTH LLC

MEDICARE: PERIHEALTH 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
1251B00000XCase Management Agency
2251F00000XHome Infusion Agency
3251J00000XNursing Care Agency
4251E00000XHome Health Agency

General Provider Information

NPI Number : 1205239373
Entity Type Code : Organization
Provider Name (Legal Business Name) : PERIHEALTH LLC
Provider Business Mailing Address
First Line : 3450 W 84TH ST
Second Line : 103-A
City : MIAMI LAKES
State : FL
Zip : 33018-4924
Country : US
Telephone Number : 305-921-9535
Fax Number :
Provider Business Practice Location Address
First Line : 3450 W 84TH ST
Second Line : 103-A
City : MIAMI LAKES
State : FL
Zip : 33018-4924
Country : US
Telephone Number : 305-921-9535
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : DIANA VALBUENA
Credential : RN
Telephone Number : 305-921-9535
Provider Enumeration Date : 10/03/2014
Last Update Date : 10/03/2014

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Directions to “PERIHEALTH LLC ” Practice Location

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