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Organization

RANDY'S HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ELDA ISERN (VICE PRESIDENT)
(786) 477-2935
Entity
Organization

Contact information

Practice address
16201 SW 288TH ST, HOMESTEAD, FL 33033-1018
(786) 477-2935
Mailing address
16201 SW 288TH ST, HOMESTEAD, FL 33033-1018
(786) 477-2935

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12161
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12161
AGENCY FOR THE HEALTH CARE ADMINISTRATION
FL
Enumeration date
02/17/2013
Last updated
02/17/2013
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