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NPI Code Detail

MEDICARE: DEBORAH'S NURSING SERVICES, INC.

MEDICARE: DEBORAH'S NURSING 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
1251E00000XHome Health AgencyHHA22069096FL

General Provider Information

NPI Number : 1598067936
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEBORAH'S NURSING SERVICES, INC.
Provider Business Mailing Address
First Line : 1995 E OAKLAND PARK BLVD
Second Line : SUITE #115
City : FORT LAUDERDALE
State : FL
Zip : 33306-1147
Country : US
Telephone Number : 954-772-9660
Fax Number : 954-772-2301
Provider Business Practice Location Address
First Line : 1995 E OAKLAND PARK BLVD
Second Line : SUITE #115
City : FORT LAUDERDALE
State : FL
Zip : 33306-1147
Country : US
Telephone Number : 954-772-9660
Fax Number : 954-772-2301
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. KEVIN A JEMMOTT
Credential : LHRM, LPN
Telephone Number : 954-772-9660
Provider Enumeration Date : 11/17/2010
Last Update Date : 10/02/2013

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Directions to “DEBORAH'S NURSING SERVICES, INC. ” Practice Location

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