Organization
365 HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NESTOR MARC (PRESIDENT)
(561) 460-1398
Entity
Organization
Contact information
Practice address
5950 OKEECHOBEE BLVD, WEST PALM BEACH, FL 33417-4324
(561) 460-1398
Mailing address
5950 OKEECHOBEE BLVD, WEST PALM BEACH, FL 33417-4324
(561) 460-1398
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30212117
AHCA HOME HEALTHCARE
FL
Enumeration date
06/10/2020
Last updated
06/10/2020
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