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NPI Code Detail

MEDICARE: BACK 2 FUNCTION HOME CARE, INC.

MEDICARE: BACK 2 FUNCTION HOME CARE, 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1346314788
Entity Type Code : Organization
Provider Name (Legal Business Name) : BACK 2 FUNCTION HOME CARE, INC.
Provider Business Mailing Address
First Line : 2632 HOLLYWOOD BLVD
Second Line : SUITE 303
City : HOLLYWOOD
State : FL
Zip : 33020-4847
Country : US
Telephone Number : 954-923-3233
Fax Number : 954-923-3272
Provider Business Practice Location Address
First Line : 2632 HOLLYWOOD BLVD
Second Line : SUITE 303
City : HOLLYWOOD
State : FL
Zip : 33020-4847
Country : US
Telephone Number : 954-923-3233
Fax Number : 954-923-3272
Authorized Official
Title or Position : PRESIDENT
Name : MRS. ISABEL VELASCO
Credential :
Telephone Number : 954-923-3233
Provider Enumeration Date : 11/18/2006
Last Update Date : 08/22/2020

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Directions to “BACK 2 FUNCTION HOME CARE, INC. ” Practice Location

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