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Organization
SUCCESSFUL CARE ENTERPRISE INC.
Active
Organization
SUCCESSFUL CARE ENTERPRISE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NOVLET HUDAON PHD (DIRECTOR)
(305) 801-1683
Entity
Organization
Contact information
Practice address
1340 NW 207TH ST STE D, MIAMI GARDENS, FL 33169-2331
(305) 801-1683
(305) 653-8790
Mailing address
1340 NW 207TH ST STE D, MIAMI GARDENS, FL 33169-2331
(305) 801-1683
(305) 653-8790
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN1112631
MEDICARE
FL
05
—
PN1112631
—
FL
Enumeration date
06/20/2010
Last updated
06/20/2010
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