# AEGIS PLACE LLC.

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

## Provider details

- **NPI number:** 1124767363
- **Authorized official:** MRS. DARLING FANFAN (ADMINISTRATOR)
- **Authorized official phone:** (305) 343-3843

## Contact information

- **Practice address:** 4809 NW 9TH ST, PLANTATION, FL 33317-1421
- **Practice address phone:** (305) 343-3843
- **Mailing address:** 4809 NW 9TH ST, PLANTATION, FL 33317-1421
- **Mailing address phone:** (305) 343-3843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/03/2022
- **Last updated:** 06/07/2022