Provider Demographics
NPI:1093346330
Name:LABIANCO, HELENE
Entity Type:Individual
Prefix:
First Name:HELENE
Middle Name:
Last Name:LABIANCO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5431 LAGOON DR
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-6429
Mailing Address - Country:US
Mailing Address - Phone:954-657-3048
Mailing Address - Fax:
Practice Address - Street 1:5431 LAGOON DR
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-6429
Practice Address - Country:US
Practice Address - Phone:954-657-3048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-27
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider