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Organization
SAMY NURSING CORP
Active
Organization
SAMY NURSING CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNESTO DIAZ (PRESIDENT)
(305) 828-1396
Entity
Organization
Contact information
Practice address
4980 PALM AVE, HIALEAH, FL 33012-3726
(305) 828-1396
(305) 825-1963
Mailing address
4980 PALM AVE, HIALEAH, FL 33012-3726
(305) 828-1396
(305) 825-1963
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299992574
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299992574
AHCA
FL
Enumeration date
12/05/2006
Last updated
01/26/2010
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