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Organization
M.D. HOME HEALTH, LLC
Active
Organization
M.D. HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO DARNELL DICKERSON RN, RRT (ADMINISTRATOR)
(561) 689-0445
Entity
Organization
Contact information
Practice address
580 VILLAGE BLVD STE 315, WEST PALM BEACH, FL 33409-1953
(561) 689-0445
(561) 689-0415
Mailing address
580 VILLAGE BLVD STE 315, WEST PALM BEACH, FL 33409-1953
(561) 689-0445
(561) 689-0415
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299992400
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
651363800
—
FL
Enumeration date
06/07/2006
Last updated
11/03/2022
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