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Organization

PROFESSIONAL HOME HEALTH LLC

Active
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Organization

PROFESSIONAL HOME HEALTH LLC

Active
Other names
Professional Home Health LLC
Organization subpart
No

Provider details

NPI number
Authorized official
SANTIAGO ORDAZ (MANAGING MEMBER/CFO)
(305) 820-3993
Entity
Organization

Contact information

Practice address
3798 W 12TH AVE, SUITE B, HIALEAH, FL 33012-4126
(305) 820-3993
(305) 820-3996
Mailing address
3798 W 12TH AVE, SUITE B, HIALEAH, FL 33012-4126
(305) 820-3993
(305) 820-3996

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL

Other

Enumeration date
10/25/2006
Last updated
10/23/2007
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