Organization
FAMILY CARE NURSES REG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN IULDA JOHNSON (ADMINISTRATOR)
(561) 686-4552
Entity
Organization
Contact information
Practice address
4047 OKEECHOBEE BLVD, #124, WEST PALM BCH, FL 33409
(561) 686-4552
(561) 686-4528
Mailing address
4047 OKEECHOBEE BLVD, #124, WEST PALM BCH, FL 33409
(561) 686-4552
(561) 686-4528
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
30211111
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
683964996
—
FL
Enumeration date
12/02/2010
Last updated
12/02/2010
Update your record
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