Organization
MOUNTAIN VIEW HOME HEALTHCARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KELISHA FERGUSON (CEO)
(754) 223-0012
Entity
Organization
Contact information
Practice address
7971 RIVIERA BLVD STE 328, MIRAMAR, FL 33023-6449
(786) 541-3216
Mailing address
6953 SW 36TH DR, MIRAMAR, FL 33023-6666
(754) 223-0012
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
374700000X
Technician
—
—
Other
Enumeration date
11/07/2022
Last updated
05/06/2023
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