Organization
GODSEND HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PURA IBRAHIM (PRESIDENT)
(786) 512-3796
Entity
Organization
Contact information
Practice address
11117 W OKEECHOBEE RD, SUITE 127, HIALEAH GARDENS, FL 33018-4212
(786) 512-3796
(786) 502-3008
Mailing address
11117 W OKEECHOBEE RD, SUITE 127, HIALEAH GARDENS, FL 33018-4212
(786) 512-3796
(786) 502-3008
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
684928801
—
FL
01
—
684928896
MEDICAID WAIVER
—
Enumeration date
06/03/2016
Last updated
07/21/2022
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