Organization
AB 93 LLC
Active
Other names
Active Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BENZAQUEN (DIRECTOR)
(954) 361-4199
Entity
Organization
Contact information
Practice address
1000 W PEMBROKE RD STE 111, HALLANDALE BEACH, FL 33009-2178
(954) 361-4199
Mailing address
1000 W PEMBROKE RD STE 111, HALLANDALE BEACH, FL 33009-2178
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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