Organization
GENOMA HOME HEALTH CARE AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYDEL MIRANDA (PRESIDENT)
(561) 410-5622
Entity
Organization
Contact information
Practice address
1499 FOREST HILL BLVD, SUITE 106, LAKE CLARKE SHORES, FL 33406-6050
(561) 410-5622
(561) 410-5621
Mailing address
1499 FOREST HILL BLVD, SUITE 106, LAKE CLARKE SHORES, FL 33406-6050
(561) 410-5622
(561) 410-5621
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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