Provider Demographics
NPI:1346314788
Name:BACK 2 FUNCTION HOME CARE, INC.
Entity Type:Organization
Organization Name:BACK 2 FUNCTION HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ISABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:VELASCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-923-3233
Mailing Address - Street 1:2632 HOLLYWOOD BLVD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-4847
Mailing Address - Country:US
Mailing Address - Phone:954-923-3233
Mailing Address - Fax:954-923-3272
Practice Address - Street 1:2632 HOLLYWOOD BLVD
Practice Address - Street 2:SUITE 303
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-4847
Practice Address - Country:US
Practice Address - Phone:954-923-3233
Practice Address - Fax:954-923-3272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health