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Organization

HYBRID HEALTHCARE STAFFING AGENCY. LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ADETUTU AJAGBE MBA (ADMINISTRATOR)
(305) 477-7811
Entity
Organization

Contact information

Practice address
4995 NW 72ND AVE STE 307, MIAMI, FL 33166-5643
(305) 477-7811
(305) 593-8225
Mailing address
4995 NW 72ND AVE STE 307, MIAMI, FL 33166-5643
(305) 477-7811
(305) 593-8225

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
AHCA # 30211162
FL
251G00000X
Community Based Hospice Care Agency
Primary
AHCA # 30211162
FL
251J00000X
Nursing Care Agency
AHCA # 30211162
FL
253Z00000X
In Home Supportive Care Agency
AHCA # 30211162
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30211162
STATE OF FLORIDA AHCA LICENSE NUMBER
FL
Enumeration date
06/09/2011
Last updated
06/09/2011
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