Organization
FORTIES STAFFING, INC
Active
Other names
FORTIES HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAJELA HERNANDEZ (ADMINISTRATOR)
(786) 357-0013
Entity
Organization
Contact information
Practice address
15390 SW 144TH AVE, MIAMI, FL 33177
(786) 357-0013
(305) 859-4253
Mailing address
15390 SW 144TH AVE, MIAMI, FL 33177-1061
(786) 357-0013
(305) 859-4253
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
234112
FL
372600000X
Adult Companion
234112
FL
376J00000X
Homemaker
234112
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821469362
—
FL
Enumeration date
10/09/2015
Last updated
05/28/2018
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