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DISTINCTIVE HOME CARE, LLC

Adult Care Home

Ft Lauderdale, Florida

Provider NPI: 1861676157

Organization Information:
Organization Name:  DISTINCTIVE HOME CARE, LLC


Practice Location:
6460 NW 5TH WAY  FT LAUDERDALE, FL 33309 US
Tel: 954-727-9142  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
FL30211309

Other Provider Identifiers:

IssuerNumberStateType
PRIVATE DUTY/NURSE REGIST30211309FL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS FL - Page 1



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