MEDICARE: LISTEN LINDA 01 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	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1760227359
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LISTEN LINDA 01 LLC

Provider Business Mailing Address
First Line	:	5062 SW 173RD AVE
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33029-5094
Country	:	US
Telephone Number	:	361-793-8927
Fax Number	:

Provider Business Practice Location Address
First Line	:	10350 PINES BLVD STE D103
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33026-6051
Country	:	US
Telephone Number	:	361-793-8927
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. DARRELL LINDERS
Credential	:	APRN
Telephone Number	:	361-793-8927

Provider Enumeration Date	:	06/26/2024
Last Update Date	:	06/26/2024

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Directions to “LISTEN LINDA 01 LLC ” Practice Location

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