Organization
DISTINCTIVE HOME CARE, LLC
Active
Other names
Distinctive Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON HUGGINS (ADMINISTRATOR)
(954) 727-9142
Entity
Organization
Contact information
Practice address
6460 NW 5TH WAY, FT LAUDERDALE, FL 33309-6112
(954) 727-9142
(954) 727-2825
Mailing address
33920 US HIGHWAY 19 N, SUITE 341, PALM HARBOR, FL 34684-2654
(727) 786-5520
(727) 787-6893
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
30211309
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30211309
PRIVATE DUTY/NURSE REGIST
FL
Enumeration date
12/21/2007
Last updated
08/04/2008
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