Organization
PROVIDENCE HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NERCY RADCLIFFE (CEO)
(305) 520-5585
Entity
Organization
Contact information
Practice address
10250 SW 56TH ST STE D103, MIAMI, FL 33165-7065
(305) 520-5585
Mailing address
10250 SW 56TH ST STE D103, MIAMI, FL 33165-7065
(305) 520-5585
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
30211930
FL
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
About Stedi
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