Organization
NICMOY HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ILEENE PARKER-SMITH (OWNER)
(786) 344-1057
Entity
Organization
Contact information
Practice address
1 EAST BOWARD BVLD, SUITE 700, FORT LAUDERDALE, FL 33301-2642
(954) 745-4966
Mailing address
1 EAST BOWARD BVLD, SUITE 700, FORT LAUDERDALE, FL 33301
(954) 745-4966
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
03/02/2026
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