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Organization
PROFESSIONAL HOME SERVICES OF BROWARD
Active
Organization
PROFESSIONAL HOME SERVICES OF BROWARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECA N GRILLO R.N., B.S.N. (ADMINISTRATOR)
(305) 469-1819
Entity
Organization
Contact information
Practice address
12741 MIRAMAR PKWY, 206, MIRAMAR, FL 33027-2905
(954) 430-8403
(954) 430-8957
Mailing address
12741 MIRAMAR PKWY, 206, MIRAMAR, FL 33027-2903
(954) 430-8403
(954) 430-8957
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/27/2008
Last updated
08/20/2010
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