MEDICARE: RR HEALTHCARE AND ASSOCIATES 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	HHA205630961	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568404176
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RR HEALTHCARE AND ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	9050 PINES BLVD
Second Line	:	SUITE 384
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-6455
Country	:	US
Telephone Number	:	954-978-1499
Fax Number	:	954-978-6996

Provider Business Practice Location Address
First Line	:	9050 PINES BLVD
Second Line	:	SUITE 384
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-6455
Country	:	US
Telephone Number	:	954-978-1499
Fax Number	:	954-978-6996

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. YANIRA SOTOLONGO
Credential	:
Telephone Number	:	954-978-1499

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	12/15/2011

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