Immaculate Home Health Care LLC
Home Health in Boca Raton, FL. Organization (NPI-2).
NPI number1346856416
StatusActive
Last updated in NPPESDec 26, 2023
Details
- NPI
- 1346856416
- Entity type
- Organization (NPI-2)
- Legal business name
- Immaculate Home Health Care LLC
- Organization subpart
- No
- Enumeration date
- Sep 23, 2020
- Certification date
- Dec 26, 2023
- Last updated
- Dec 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
1600 S Dixie Hwy Ste 106Boca Raton, FL 33432-7463
Phone 954-531-3585 · Fax 855-299-5825
Mailing address
1600 S Dixie Hwy Ste 106Boca Raton, FL 33432-7463
Phone 954-531-3585 · Fax 855-299-5825
Other practice locations
6101 W Atlantic Blvd Ste 212
Margate, FL 33063-5157
Margate, FL 33063-5157
Phone 954-531-3585
Authorized official
Coretta Waters
Owner
9545313585
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