# ENLIGHTMENT HOME CARE PROVIDERS, INC.

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

## Provider details

- **NPI number:** 1174057293
- **Authorized official:** MRS. IRVELINE POITEVIEN (CEO/PRESIDENT)
- **Authorized official phone:** (954) 552-1668

## Contact information

- **Practice address:** 4620 SW 172ND AVE, SOUTHWEST RANCHES, FL 33331-1219
- **Practice address phone:** (954) 552-1668
- **Practice address fax:** (786) 955-6889
- **Mailing address:** 4620 SW 172ND AVE, SOUTHWEST RANCHES, FL 33331-1219
- **Mailing address phone:** (954) 552-1668
- **Mailing address fax:** (786) 955-6889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 233011 | FL | Yes |

## Other

- **Enumeration date:** 04/14/2017
- **Last updated:** 04/14/2017