Organization
KINGDOM LEGACY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIE FRANCESCA MONDELUS RN BSN (CEO)
(754) 235-0044
Entity
Organization
Contact information
Practice address
6001 NW 89TH AVE, TAMARAC, FL 33321-4105
(754) 235-0044
Mailing address
6001 NW 89TH AVE, TAMARAC, FL 33321-4105
(754) 235-0044
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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