# SUNDIAZ HOME CARE PROFESSIONALS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124267133
- **Authorized official:** MRS. RAQUEL DIAZ-SANTIAGO (PRESIDENT)
- **Authorized official phone:** (321) 961-7003

## Contact information

- **Practice address:** 927 E NEW HAVEN AVE, SUITE 308, MELBOURNE, FL 32901-5417
- **Practice address phone:** (321) 961-7003
- **Practice address fax:** (321) 728-0162
- **Mailing address:** 927 E NEW HAVEN AVE, SUITE 308, MELBOURNE, FL 32901-5417
- **Mailing address phone:** (321) 961-7003
- **Mailing address fax:** (321) 728-0162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 230612 | FL | Yes |

## Other

- **Enumeration date:** 02/13/2009
- **Last updated:** 02/13/2009