Organization
KING HOME HEALTH SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGNAR DIEPPA HERNANDEZ (VICE-PRESIDENT)
(305) 457-7339
Entity
Organization
Contact information
Practice address
16201 SW 95TH AVE STE 103, MIAMI, FL 33157-3459
(305) 457-7339
Mailing address
16201 SW 95TH AVE STE 103, MIAMI, FL 33157-3459
(305) 457-7339
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/15/2020
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