Organization
PENIEL HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERLEY MARC (COE/ADMINISTRATOR)
(786) 985-1209
Entity
Organization
Contact information
Practice address
5551 NW 125TH TER, CORAL SPRINGS, FL 33076-3432
(866) 473-6435
Mailing address
5551 NW 125TH TER, CORAL SPRINGS, FL 33076-3432
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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