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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