Provider Demographics
NPI:1710265129
Name:PROFESSIONAL NURSES HOME CARE INC
Entity Type:Organization
Organization Name:PROFESSIONAL NURSES HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GUYLAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNAC
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:954-260-4494
Mailing Address - Street 1:3200 NORTH FEDERAL HIGHWAY, SUITE 206-8
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431
Mailing Address - Country:US
Mailing Address - Phone:954-260-4494
Mailing Address - Fax:954-437-5546
Practice Address - Street 1:17935 SW 35TH DR
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33029-1688
Practice Address - Country:US
Practice Address - Phone:954-260-4494
Practice Address - Fax:954-437-5547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-02
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health