Organization
ED2RN HOME HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAMEKA WADE RN (CEO)
(786) 873-4458
Entity
Organization
Contact information
Practice address
11623 SW 17TH ST, PEMBROKE PINES, FL 33025-1700
(786) 873-4458
Mailing address
11623 SW 17TH ST, PEMBROKE PINES, FL 33025-1700
(786) 873-4458
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
163WH0200X
Home Health Registered Nurse
—
—
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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