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Organization
DETERMINED CARE HOME HEALTH
Active
Organization
DETERMINED CARE HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHACHLE ALTIDOR LPN (OWNER)
(954) 245-5129
Entity
Organization
Contact information
Practice address
648 NE 34TH CT, OAKLAND PARK, FL 33334-2850
(954) 245-5129
(954) 827-2349
Mailing address
648 NE 34TH CT, OAKLAND PARK, FL 33334-2850
(954) 245-5129
(954) 827-2349
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
PN5211091
FL
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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