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Organization
SOUTHEAST HOMECARE LLC
Active
Organization
SOUTHEAST HOMECARE LLC
Active
Other names
Southeast Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA MENDEZ (CHIEF OPERATING OFFICER)
(844) 215-4264
Entity
Organization
Contact information
Practice address
3125 W COMMERCIAL BLVD, SUITE 110, FORT LAUDERDALE, FL 33309-3448
(954) 615-6200
(954) 615-6202
Mailing address
3125 W. COMMERCIAL BLVD., SUITE 110, FT. LAUDERDALE, FL 33309
(954) 615-6200
(954) 615-6202
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA299991990
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108138
MEDICARE PROVIDER NUMBER
FL
Enumeration date
05/22/2009
Last updated
09/18/2019
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