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Organization
LONGEVITY HOME HEALTH CARE INC
Active
Organization
LONGEVITY HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PEDRO GONZALEZ MOLLINEDA RN (ADMINISTRATOR / DON)
(305) 821-0076
Entity
Organization
Contact information
Practice address
15327 NW 60TH AVE, SUITE 235, MIAMI LAKES, FL 33014-2429
(305) 821-0076
(305) 821-0087
Mailing address
15327 NW 60TH AVE, SUITE 235, MIAMI LAKES, FL 33014-2429
(305) 821-0076
(305) 821-0087
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299993125
HOME HEALTH AGENCY LICENSE
FL
Enumeration date
05/22/2008
Last updated
06/25/2008
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