MEDICARE: DOH HOMECARE 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	376J00000X	Homemaker

General Provider Information

NPI Number	:	1891314480
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOH HOMECARE INC

Provider Business Mailing Address
First Line	:	2145 NE 164TH ST APT 510
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-4284
Country	:	US
Telephone Number	:	305-850-4954
Fax Number	:

Provider Business Practice Location Address
First Line	:	2145 NE 164TH ST APT 510
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-4284
Country	:	US
Telephone Number	:	305-850-4954
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DONNIECE HENRY
Credential	:
Telephone Number	:	305-850-4954

Provider Enumeration Date	:	04/13/2020
Last Update Date	:	04/13/2020

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Directions to “DOH HOMECARE INC ” Practice Location

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