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NPI Code Detail

MEDICARE: PERSONALIZED HEALTH SERVICES, CORP

MEDICARE: PERSONALIZED HEALTH SERVICES, CORP
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
1310400000XAssisted Living FacilityAL-11467FL

General Provider Information

NPI Number : 1235363060
Entity Type Code : Organization
Provider Name (Legal Business Name) : PERSONALIZED HEALTH SERVICES, CORP
Provider Business Mailing Address
First Line : 8510 SW 12TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33144-4004
Country : US
Telephone Number : 786-294-0804
Fax Number : 786-294-0804
Provider Business Practice Location Address
First Line : 8510 SW 12TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33144-4004
Country : US
Telephone Number : 786-294-0804
Fax Number : 786-294-0804
Authorized Official
Title or Position : PRESIDENT
Name : MARISOL FERRER
Credential :
Telephone Number : 786-294-0804
Provider Enumeration Date : 05/07/2009
Last Update Date : 05/07/2009

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Directions to “PERSONALIZED HEALTH SERVICES, CORP ” Practice Location

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