Organization
ATLANTIC HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKELINE PLACENCIA PA-C (ADMINISTRATOR)
(954) 363-1363
Entity
Organization
Contact information
Practice address
2425 N. UNIVERSITY DRIVE, SUITE 2415, CORAL SPRINGS, FL 33065
(954) 363-1363
(888) 896-6607
Mailing address
2415 N UNIVERSITY DR, CORAL SPRINGS, FL 33065-5123
(954) 363-1363
(888) 896-6607
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
11/29/2010
Last updated
06/29/2020
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