# FORTIES STAFFING, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FORTIES HOME CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821469362
- **Authorized official:** MRS. MAJELA HERNANDEZ (ADMINISTRATOR)
- **Authorized official phone:** (786) 357-0013

## Contact information

- **Practice address:** 15390 SW 144TH AVE, MIAMI, FL 33177
- **Practice address phone:** (786) 357-0013
- **Practice address fax:** (305) 859-4253
- **Mailing address:** 15390 SW 144TH AVE, MIAMI, FL 33177-1061
- **Mailing address phone:** (786) 357-0013
- **Mailing address fax:** (305) 859-4253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 234112 | FL | Yes |
| 372600000X | Adult Companion | 234112 | FL | — |
| 376J00000X | Homemaker | 234112 | FL | — |

## Other

- **Enumeration date:** 10/09/2015
- **Last updated:** 05/28/2018