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Organization
SOUTHEAST HOMECARE LLC
Active
Organization
SOUTHEAST HOMECARE LLC
Active
Other names
Southeast Homecare
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA MENDEZ (CHIEF OPERATING OFFICER)
(844) 215-4264
Entity
Organization
Contact information
Practice address
1200 NW 17TH AVE STE 10, DELRAY BEACH, FL 33445-2512
(561) 819-6400
(561) 819-6401
Mailing address
1200 NW 17 AVENUE, SUITE 10, DELRAY BEACH, FL 33445
(561) 819-6400
(561) 819-6401
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA299992181
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108247
MEDICARE PROVIDER NUMBER
FL
Enumeration date
05/21/2009
Last updated
09/18/2019
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