Provider Demographics
NPI:1396206975
Name:PINK RIBBON HOME CARE SERVICES
Entity Type:Organization
Organization Name:PINK RIBBON HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LOURDES
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ-CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-303-0176
Mailing Address - Street 1:6959 N WATERWAY DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-3857
Mailing Address - Country:US
Mailing Address - Phone:305-303-0176
Mailing Address - Fax:
Practice Address - Street 1:6959 N WATERWAY DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-3857
Practice Address - Country:US
Practice Address - Phone:305-303-0176
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-27
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health