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Organization
PSN HEALTH CARE CORP
Active
Organization
PSN HEALTH CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEYDI FALCON RN (ADMINISTRATOR)
(305) 698-5295
Entity
Organization
Contact information
Practice address
17670 NW 78TH AVE, SUITE 213, HIALEAH, FL 33015-3664
(305) 698-5295
(305) 698-5325
Mailing address
17670 NW 78TH AVE, SUITE 213, HIALEAH, FL 33015-3664
(305) 698-5295
(305) 698-5325
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299992845
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299992845
AHCA
FL
05
—
651782000
—
FL
Enumeration date
09/04/2007
Last updated
01/24/2012
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