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Organization
PROFESSIONAL HOME HEALTH CARE, INC.
Active
Organization
PROFESSIONAL HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE A NOA (PRESIDENT/CEO)
(305) 558-9960
Entity
Organization
Contact information
Practice address
4155 SW 130TH AVE, SUITE 212, MIAMI, FL 33175-3414
(305) 558-9960
(305) 558-9943
Mailing address
4155 SW 130TH AVE, SUITE 212, MIAMI, FL 33175-3414
(305) 558-9960
(305) 558-9943
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299993613
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109623
MEDICARE
FL
Enumeration date
11/17/2008
Last updated
01/07/2015
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