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Organization
NURSING INNOVATE HOME HEALTHCARE. LLC
Active
Organization
NURSING INNOVATE HOME HEALTHCARE. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYNALD ANTOINE REGISTERED NURSE (CHIEF OPERATING OFFICER)
(305) 978-3706
Entity
Organization
Contact information
Practice address
1175 NE 125TH ST, NORTH MIAMI, FL 33161-5015
(305) 978-3706
Mailing address
1175 NE 125TH ST, NORTH MIAMI, FL 33161-5015
(305) 978-3706
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
NULL
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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