Aegis Place LLC.
Home Health in Plantation, FL. Organization (NPI-2).
NPI number1124767363
StatusActive
Last updated in NPPESJun 7, 2022
Details
- NPI
- 1124767363
- Entity type
- Organization (NPI-2)
- Legal business name
- Aegis Place LLC.
- Organization subpart
- No
- Enumeration date
- Jun 3, 2022
- Certification date
- Jun 7, 2022
- Last updated
- Jun 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
4809 Nw 9th StPlantation, FL 33317-1421
Phone 305-343-3843
Mailing address
4809 Nw 9th StPlantation, FL 33317-1421
Phone 305-343-3843
Authorized official
Darling Fanfan
Administrator
3053433843
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