Organization
'A' CLASS HOME HEALTH AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SANGAY ELLIOTT (ADMINISTRATOR)
(954) 730-8800
Entity
Organization
Contact information
Practice address
3075 W OAKLAND PARK BLVD, SUITE 102, OAKLAND PARK, FL 33311-1221
(954) 730-8800
(954) 730-8898
Mailing address
PO BOX 590487, FT LAUDERDALE, FL 33359-0487
(954) 730-8800
(954) 730-8898
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299992020
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299992020
AHCA
FL
Enumeration date
03/10/2008
Last updated
06/04/2010
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