Organization
PRINCETON LONG TERM CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL RODRIGUEZ (VP)
(305) 548-2228
Entity
Organization
Contact information
Practice address
13590 SW 134TH AVE STE 106, MIAMI, FL 33186-4575
(305) 548-2228
(305) 548-2228
Mailing address
13590 SW 134TH AVE STE 106, MIAMI, FL 33186-4575
(305) 548-2228
(786) 329-6765
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114494000
—
FL
Enumeration date
10/11/2021
Last updated
09/12/2022
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