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Organization

TOP CLASS HOME CARE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD PETGRAVE (OWNER/ADMINISTRATOR)
(786) 859-7265
Entity
Organization

Contact information

Practice address
127 NW 4TH AVE, HALLANDALE BEACH, FL 33009-4115
(305) 907-1513
(305) 907-1513
Mailing address
127 NW 4TH AVE, HALLANDALE BEACH, FL 33009-4115
(305) 907-1513
(305) 907-1513

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
233327
FL

Other

Enumeration date
12/04/2013
Last updated
12/04/2013
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