Organization
SUNDIAZ HOME CARE PROFESSIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAQUEL DIAZ-SANTIAGO (PRESIDENT)
(321) 961-7003
Entity
Organization
Contact information
Practice address
927 E NEW HAVEN AVE, SUITE 308, MELBOURNE, FL 32901-5417
(321) 961-7003
(321) 728-0162
Mailing address
927 E NEW HAVEN AVE, SUITE 308, MELBOURNE, FL 32901-5417
(321) 961-7003
(321) 728-0162
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
230612
FL
Other
Enumeration date
02/13/2009
Last updated
02/13/2009
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