# FDG HOME HEALTH AGENCY, INC.

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

## Provider details

- **NPI number:** 1487810339
- **Authorized official:** VERONICA PULLEY LORENZO (PRESIDENT)
- **Authorized official phone:** (786) 246-1885

## Contact information

- **Practice address:** 7855 NW 12TH ST STE 210, DORAL, FL 33126-1819
- **Practice address phone:** (305) 279-0602
- **Practice address fax:** (305) 279-0603
- **Mailing address:** 7855 NW 12TH ST STE 210, DORAL, FL 33126-1819
- **Mailing address phone:** (305) 279-0602
- **Mailing address fax:** (305) 279-0603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 299993393 | FL | Yes |

## Other

- **Enumeration date:** 07/30/2008
- **Last updated:** 12/31/2013