Organization
STAY AT HOME CAREGIVERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORALIA MARIA JENNINGS M.P.A., C.N.A. (PRESIDENT)
(305) 777-3809
Entity
Organization
Contact information
Practice address
6625 MIAMI LAKES DR, SUITE #404, MIAMI LAKES, FL 33014-2708
(305) 777-3809
(954) 236-3289
Mailing address
481 SUMTER AVE, DAVIE, FL 33325-6350
(305) 777-3809
(954) 236-3289
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
231499
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231499
AHCA LICENSE
FL
Enumeration date
01/02/2010
Last updated
01/02/2010
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