MEDICARE: PRIORITY CARE HOME HEALTH SERVICES INC

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		FL

General Provider Information

NPI Number	:	1295876092
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIORITY CARE HOME HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	2113 W 60TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-2616
Country	:	US
Telephone Number	:	305-364-7172
Fax Number	:

Provider Business Practice Location Address
First Line	:	2113 W 60TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-2616
Country	:	US
Telephone Number	:	305-364-7172
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. SONIA YERO
Credential	:	PRESIDENT
Telephone Number	:	305-364-7172

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	02/04/2008

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