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Organization

PROFESSIONAL HOME CARE III

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. YANELIS PEREZ (ADMINISTRATOR/PRESIDENT)
(305) 691-2083
Entity
Organization

Contact information

Practice address
447 E 26TH ST, HIALEAH, FL 33013-3818
(305) 691-2083
(305) 691-2068
Mailing address
447 E 26TH ST, HIALEAH, FL 33013-3818
(305) 691-2083
(305) 691-2068

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL94
FL

Other

Enumeration date
09/20/2007
Last updated
09/20/2007
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