Organization
START PROFESSIONAL CARE & SUPPORT LLC
Active
Other names
na
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MADELIN MARICHAL (OWNER)
(786) 442-6465
Entity
Organization
Contact information
Practice address
11117 W OKEECHOBEE RD STE 130, HIALEAH GARDENS, FL 33018-4210
(786) 442-6465
(305) 675-2397
Mailing address
3300 E 5TH AVE, HIALEAH, FL 33013-3037
(786) 442-6465
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
3747A0650X
Attendant Care Provider
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103102100
—
FL
Enumeration date
09/16/2021
Last updated
08/23/2023
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