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Organization
PROFESSIONAL HOME SERVICES, INC.
Active
Organization
PROFESSIONAL HOME SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECA NUNEZ GRILLO R.N., B.S.N. (ADMINISTRATOR)
(305) 827-1211
Entity
Organization
Contact information
Practice address
6001 NW 153RD ST, SUITE 152, MIAMI LAKES, FL 33014-2419
(305) 827-1211
(305) 827-1320
Mailing address
6001 NW 153RD ST, SUITE 152, MIAMI LAKES, FL 33014-2419
(305) 827-1211
(305) 827-1320
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
209740961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
650884700
—
FL
Enumeration date
11/01/2006
Last updated
09/12/2019
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