# PONKEYS HOME CARE

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

## Provider details

- **NPI number:** 1528360799
- **Authorized official:** MRS. POLLY NEDENE DUFFUS (PRESIDENT)
- **Authorized official phone:** (754) 214-3169

## Contact information

- **Practice address:** 4420 NW 23RD STREET, LAUDERHILL, FL 33313
- **Practice address phone:** (754) 214-3169
- **Practice address fax:** (954) 306-2314
- **Mailing address:** 4420 NW 23RD STREET, LAUDERHILL, FL 33313
- **Mailing address phone:** (754) 214-3169
- **Mailing address fax:** (954) 306-2314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/22/2010
- **Last updated:** 11/22/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 691523096 | — | FL |