Organization
MAHANAIM HOME CARE L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MYRIAM FRAZIL R.N. (PRESIDENT/CEO)
(954) 270-0562
Entity
Organization
Contact information
Practice address
2750 N 29TH AVE STE 218B, HOLLYWOOD, FL 33020-1521
(954) 270-0563
Mailing address
2750 N 29 AVENUE SUITE 218B, HOLLYWOOD FL, FL 33020-3982
(954) 270-0563
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
04/27/2022
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