# 1NINETYNINE1 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Firstlight home care of west broward, firstlight home care of west broward
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528597796
- **Authorized official:** MR. ROBERT LINCOLN SIROTA (PRESIDENT)
- **Authorized official phone:** (954) 993-0019

## Contact information

- **Practice address:** 16691 SW 49TH ST, SOUTHWEST RANCHES, FL 33331-1325
- **Practice address phone:** (954) 993-0019
- **Mailing address:** 16691 SW 49TH ST, SOUTHWEST RANCHES, FL 33331-1325
- **Mailing address phone:** (954) 993-0019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/09/2017
- **Last updated:** 07/21/2022
