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Organization

VANDOR GERIATRIC HOMECARE INC.

Active
Parent organization
VANDOR GERIATRIC HOMECARE INC.
Other names
Lael Senior Daycare
Organization subpart
Yes

Provider details

NPI number
Legal business name
VANDOR GERIATRIC HOMECARE INC.
Authorized official
MRS. DOROTHY AGATHA ROBERTS CMA/CNA (ADMINISTRATOR)
(954) 985-4267
Entity
Organization

Contact information

Practice address
2110 N 46TH AVENUE, HOLLYWOOD, FL 33021-4161
(954) 985-4267
(954) 744-4973
Mailing address
2110 N 46TH AVE, HOLLYWOOD, FL 33021-4161
(954) 985-4267
(954) 744-4973

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
6906149
FL
305S00000X
Point of Service
Primary
6906149
FL

Other

Enumeration date
11/02/2010
Last updated
11/02/2010
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