Organization
MALIBU COMPANION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHE PIERRE (RN)
(770) 873-6303
Entity
Organization
Contact information
Practice address
7407 COCOANUT DR, LAKE WORTH, FL 33467-6421
(770) 873-6303
(678) 625-2662
Mailing address
8106 WOODLAND CT SE, COVINGTON, GA 30014-3958
(770) 873-6303
(678) 625-2662
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234
AGENT
—
05
—
1234
—
FL
05
—
330382076A
—
GA
Enumeration date
02/02/2018
Last updated
02/02/2018
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