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Serenity Home Care Of Broward LLC

In Home Supportive Care in Oakland Park, FL. Organization (NPI-2).

NPI number1104351600
StatusActive
Last updated in NPPESApr 22, 2017

Details

NPI
1104351600
Entity type
Organization (NPI-2)
Legal business name
Serenity Home Care Of Broward LLC
Organization subpart
No
Enumeration date
Apr 22, 2017
Last updated
Apr 22, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care30211906FLYes

Practice location

2800 W Oakland Park Blvd
Suite 310e
Oakland Park, FL 33311-1370

Phone 954-900-1404

Mailing address

2800 W Oakland Park Blvd
Suite 310e
Oakland Park, FL 33311-1370

Authorized official

Mark Benzaquen
Administrator
3059652666

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