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Organization
THE CANAAN CENTER LLC
Active
Organization
THE CANAAN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AGNES SAINT PREUX (DIRECTOR / ADMINISTRATOR)
(786) 304-8483
Entity
Organization
Contact information
Practice address
6710 W SUNRISE BLVD SUITE 112, 112, PEMBROKE PINES, FL 33028-1952
(954) 982-2171
Mailing address
6710 W SUNRISE BLVD SUITE 112, 112, PEMBROKE PINES, FL 33028-1952
(954) 982-2171
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
NULL
163WH0200X
Home Health Registered Nurse
—
—
163WH1000X
Hospice Registered Nurse
—
NULL
163WH1000X
Hospice Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
NULL
164W00000X
Licensed Practical Nurse
—
—
372500000X
Chore Provider
—
NULL
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
NULL
372600000X
Adult Companion
Primary
—
—
374700000X
Technician
—
NULL
374700000X
Technician
—
—
3747A0650X
Attendant Care Provider
—
NULL
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
NULL
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
04/26/2018
Last updated
10/25/2024
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