Organization
IMMACULATE HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORETTA WATERS (OWNER)
(954) 531-3585
Entity
Organization
Contact information
Practice address
1600 S DIXIE HWY STE 106, BOCA RATON, FL 33432-7463
(954) 531-3585
(855) 299-5825
Mailing address
1600 S DIXIE HWY STE 106, BOCA RATON, FL 33432-7463
(954) 531-3585
(855) 299-5825
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
12/26/2023
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