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Organization
PREMIUM HOME HEALTH CARE INC
Active
Organization
PREMIUM HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HEBERTO PENA (ADMINISTRATOR OWNER)
(305) 222-2260
Entity
Organization
Contact information
Practice address
2760 SW 97TH AVE, SUITE 107, MIAMI, FL 33165-2684
(305) 222-2260
(305) 222-2212
Mailing address
2760 SW 97TH AVE, SUITE 107, MIAMI, FL 33165-2684
(305) 222-2260
(305) 222-2212
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299991661
FL
Other
Enumeration date
07/08/2006
Last updated
03/16/2015
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