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NPI Code Detail

MEDICARE: DREAM HOME CARE SERVICES LLC

MEDICARE: DREAM HOME CARE SERVICES 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1942788062
Entity Type Code : Organization
Provider Name (Legal Business Name) : DREAM HOME CARE SERVICES LLC
Provider Business Mailing Address
First Line : 1101 E CUMBERLAND AVE STE 301-I
Second Line :
City : TAMPA
State : FL
Zip : 33602-4231
Country : US
Telephone Number : 813-488-7430
Fax Number : 813-488-7431
Provider Business Practice Location Address
First Line : 1101 E CUMBERLAND AVE STE 301-I
Second Line :
City : TAMPA
State : FL
Zip : 33602-4231
Country : US
Telephone Number : 813-488-7430
Fax Number : 813-488-7431
Authorized Official
Title or Position : OWNER
Name : BERTHA BLACK
Credential :
Telephone Number : 702-606-4701
Provider Enumeration Date : 07/31/2018
Last Update Date : 07/31/2018

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Directions to “DREAM HOME CARE SERVICES LLC ” Practice Location

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