Organization
CONQUEST HOME CARE NURSING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACINTH BURTON (ALTERNATE ADMINISTRATOR)
(305) 491-4181
Entity
Organization
Contact information
Practice address
7491 W OAKLAND PARK BLVD, LAUDERHILL, FL 33319-4989
(954) 990-4080
Mailing address
6800 NW 38TH DR, LAUDERHILL, FL 33319-7306
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299994592
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299994592
HOME HEALTH AGENCY
FL
Enumeration date
08/17/2017
Last updated
08/17/2017
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