# PSN HEALTH CARE CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699969519
- **Authorized official:** MRS. LEYDI FALCON RN (ADMINISTRATOR)
- **Authorized official phone:** (305) 698-5295

## Contact information

- **Practice address:** 17670 NW 78TH AVE, SUITE 213, HIALEAH, FL 33015-3664
- **Practice address phone:** (305) 698-5295
- **Practice address fax:** (305) 698-5325
- **Mailing address:** 17670 NW 78TH AVE, SUITE 213, HIALEAH, FL 33015-3664
- **Mailing address phone:** (305) 698-5295
- **Mailing address fax:** (305) 698-5325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 299992845 | FL | Yes |

## Other

- **Enumeration date:** 09/04/2007
- **Last updated:** 01/24/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 299992845 | AHCA | FL |
| 05 | — | 651782000 | — | FL |