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Organization

PACKPLUS, INC.

Active
Other names
JOSMAR HOMEMAKER COMPANION
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH A OBADEYI (PRESIDENT)
(305) 653-2880
Entity
Organization

Contact information

Practice address
633 NE 167TH ST, SUITE 620, NORTH MIAMI BEACH, FL 33162-2442
(305) 653-2880
(305) 653-2881
Mailing address
633 NE 167TH ST, SUITE 620, NORTH MIAMI BEACH, FL 33162-2442
(305) 653-2880
(305) 653-2881

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
229882
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
692060800
MEDICAID AGING AND DISABLED ADULTS WAIVER
FL
01
692117596
MEDICAID HCBS WAIVER
FL
01
692117598
MEDICAID FSL WAIVER
FL
Enumeration date
07/28/2009
Last updated
07/28/2009
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