Provider Demographics
NPI:1891216206
Name:HIGH QUALITY FAMILY CARE
Entity Type:Organization
Organization Name:HIGH QUALITY FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MATE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEZAMITS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-478-2056
Mailing Address - Street 1:3170 N FEDERAL HWY STE 211F
Mailing Address - Street 2:
Mailing Address - City:LIGHTHOUSE POINT
Mailing Address - State:FL
Mailing Address - Zip Code:33064-6722
Mailing Address - Country:US
Mailing Address - Phone:855-866-6999
Mailing Address - Fax:
Practice Address - Street 1:3170 N FEDERAL HWY STE 211F
Practice Address - Street 2:
Practice Address - City:LIGHTHOUSE POINT
Practice Address - State:FL
Practice Address - Zip Code:33064-6722
Practice Address - Country:US
Practice Address - Phone:855-866-6999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-06
Last Update Date:2017-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL234859376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty