Organization
PRIVATE DUTY HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASSAN MADEHA (OWNER, CFO)
(786) 472-6289
Entity
Organization
Contact information
Practice address
2500 NW 79TH AVE STE 165, DORAL, FL 33122-1082
(786) 472-6289
(786) 522-4376
Mailing address
2500 NW 79TH AVE STE 165, DORAL, FL 33122-1082
(786) 472-6289
(786) 522-4376
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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