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Organization

PORTORREAL HOME CARE AGENCY, LLC

Active
Other names
Portorreal Home Care Agency, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BETANIA FERMI PORTORREAL MBA (ADMINISTRATOR)
(321) 697-2334
Entity
Organization

Contact information

Practice address
103B BROADWAY STE 201, KISSIMMEE, FL 34741-5713
(718) 749-2993
(321) 219-8635
Mailing address
103B BROADWAY STE 201, KISSIMMEE, FL 34741-5713
(718) 749-2993
(321) 219-8635

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122395800
FL
Enumeration date
08/07/2025
Last updated
09/08/2025
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