Organization
FALCON HEALTHCARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHALONNE BURIN RN (ADMINISTRATOR)
(954) 477-4591
Entity
Organization
Contact information
Practice address
2901 NW 62ND ST STE 105A, FORT LAUDERDALE, FL 33309-1730
(954) 477-4591
(954) 477-4592
Mailing address
2901 NW 62ND ST STE 105A, FORT LAUDERDALE, FL 33309-1730
(954) 477-4591
(954) 477-4592
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30212266
AHCA LICENSE NURSE REGISTRY
FL
Enumeration date
07/13/2022
Last updated
09/01/2023
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