Organization
SOUTHERN UNIVERSAL HEALTH SERVICES LLC
Active
Other names
Southern Universal Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
TENEILLE S WHITE (CHIEF EXECUTIVE OFFICER)
(407) 718-7711
Entity
Organization
Contact information
Practice address
20681 NW 17TH AVE APT 203, MIAMI GARDENS, FL 33056-5036
(407) 718-7711
Mailing address
20681 NW 17TH AVE APT 203, MIAMI GARDENS, FL 33056-5036
(407) 718-7711
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/24/2022
Last updated
04/12/2023
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