Provider Demographics
NPI:1073781308
Name:STATE 27 HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:STATE 27 HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ DON
Authorized Official - Prefix:MRS
Authorized Official - First Name:TANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARANON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-529-2324
Mailing Address - Street 1:3970 W FLAGLER ST STE 103
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1642
Mailing Address - Country:US
Mailing Address - Phone:305-529-2324
Mailing Address - Fax:305-529-2664
Practice Address - Street 1:3970 W FLAGLER ST STE 103
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1642
Practice Address - Country:US
Practice Address - Phone:305-529-2324
Practice Address - Fax:305-529-2664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-20
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health