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NPI Code Detail

MEDICARE: PRO-LIFE HOME HEALTH SERVICES, INC.

MEDICARE: PRO-LIFE HOME HEALTH 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 Agency299992016FL

General Provider Information

NPI Number : 1922115120
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRO-LIFE HOME HEALTH SERVICES, INC.
Provider Business Mailing Address
First Line : 7401 NW 7TH STREET
Second Line : UNIT 2
City : MIAMI
State : FL
Zip : 33126-2912
Country : US
Telephone Number : 786-388-4883
Fax Number : 305-269-0662
Provider Business Practice Location Address
First Line : 7401 NW 7TH STREET
Second Line : UNIT 2
City : MIAMI
State : FL
Zip : 33126-2912
Country : US
Telephone Number : 786-388-4883
Fax Number : 305-269-0662
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. ADA C. LEYVA
Credential :
Telephone Number : 786-388-4883
Provider Enumeration Date : 08/24/2006
Last Update Date : 06/08/2010

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Directions to “PRO-LIFE HOME HEALTH SERVICES, INC. ” Practice Location

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