Organization
AT HOME SENIOR CARE OF BROWARD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS LOUISE TIMLIN RN (ADMINISTRATOR)
(954) 907-2123
Entity
Organization
Contact information
Practice address
725 INTRACOASTAL DR, FORT LAUDERDALE, FL 33304-3620
(954) 566-8922
(954) 561-7985
Mailing address
725 INTRACOASTAL DR, FORT LAUDERDALE, FL 33304-3620
(954) 566-8922
(954) 561-7985
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
30211288
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006778800
—
FL
Enumeration date
05/17/2013
Last updated
05/17/2013
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