Organization
NURSING INNOVATE HOME HEALTHCARE. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYNALD ANTOINE REGISTERED NURSE (CHIEF OPERATING OFFICER)
(305) 978-3706
Entity
Organization
Contact information
Practice address
1175 NE 125TH ST, NORTH MIAMI, FL 33161-5015
(305) 978-3706
Mailing address
1175 NE 125TH ST, NORTH MIAMI, FL 33161-5015
(305) 978-3706
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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