Home Sweet Home | |
5120 Sw 22nd St West Park FL 33023-3224 | |
(954) 987-2293 | |
(954) 964-5274 |
Full Name | Home Sweet Home |
---|---|
Speciality | Community/behavioral Health |
Location | 5120 Sw 22nd St, West Park, Florida |
Authorized Official Name and Position | Brenda Davis (ADMINISTRATOR) |
Authorized Official Contact | 9549872293 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Home Sweet Home 5120 Sw 22nd St West Park FL 33023-3224 Ph: (954) 987-2293 | Home Sweet Home 5120 Sw 22nd St West Park FL 33023-3224 Ph: (954) 987-2293 |
NPI Number | 1831357391 |
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Provider Enumeration Date | 05/30/2008 |
Last Update Date | 05/30/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831357391 | NPI | - | NPPES |
671558396 | Medicaid | FL | |
671558398 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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