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Organization

PROVIDENCE HOMECARE LLC

Active
Parent organization
PROVIDENCE HOMECARE LLC
Other names
Providence Homecare - Monroe
Organization subpart
Yes

Provider details

NPI number
Legal business name
PROVIDENCE HOMECARE LLC
Authorized official
NERCY B RADCLIFFE (ADMINISTRATOR)
(305) 220-1088
Entity
Organization

Contact information

Practice address
10250 SW 56TH ST STE D101, MIAMI, FL 33165-7065
(305) 220-1088
Mailing address
10250 SW 56TH ST STE D101, MIAMI, FL 33165-7065
(305) 220-1088

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102544500
FL
Enumeration date
03/22/2021
Last updated
03/22/2021
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