Organization
HOME NURSE CORP.
Active
Other names
The Palace at Home
Organization subpart
No
Provider details
NPI number
Authorized official
JULIO CESAR CHACON (ADMINISTRATOR/GENERAL MANAGER)
(305) 275-2533
Entity
Organization
Contact information
Practice address
16102 EMERALD ESTATES DR, WESTON, FL 33331-6118
(954) 349-4855
(954) 332-9344
Mailing address
10850 SW 113TH PL, MIAMI, FL 33176-3227
(305) 275-2533
(305) 270-7037
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA299992165
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA299992165
STATE OF FLORIDA LICENSE
FL
Enumeration date
08/29/2005
Last updated
05/20/2009
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