Provider Demographics
NPI:1528209806
Name:FLORIDA SERVICES HOME CARE, INC.
Entity Type:Organization
Organization Name:FLORIDA SERVICES HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DIRECTOR OF NURSING
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANELIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MANRUFO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:756-281-0243
Mailing Address - Street 1:6915 S RED RD
Mailing Address - Street 2:SUITE 213
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-3654
Mailing Address - Country:US
Mailing Address - Phone:305-663-2551
Mailing Address - Fax:305-663-2552
Practice Address - Street 1:6915 S RED RD
Practice Address - Street 2:SUITE 213
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-3654
Practice Address - Country:US
Practice Address - Phone:305-663-2551
Practice Address - Fax:305-663-2552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-16
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health