Organization
FDG HOME HEALTH AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA PULLEY LORENZO (PRESIDENT)
(786) 246-1885
Entity
Organization
Contact information
Practice address
7855 NW 12TH ST STE 210, DORAL, FL 33126-1819
(305) 279-0602
(305) 279-0603
Mailing address
7855 NW 12TH ST STE 210, DORAL, FL 33126-1819
(305) 279-0602
(305) 279-0603
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299993393
FL
Other
Enumeration date
07/30/2008
Last updated
12/31/2013
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