Provider Demographics
NPI:1891483491
Name:CAMERON VILLAGE NON MEDICAL HOME CARE AGENCY
Entity Type:Organization
Organization Name:CAMERON VILLAGE NON MEDICAL HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BIBI
Authorized Official - Middle Name:WAEDA
Authorized Official - Last Name:KARIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-418-3947
Mailing Address - Street 1:6325 SW 20TH ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-2159
Mailing Address - Country:US
Mailing Address - Phone:919-418-3947
Mailing Address - Fax:
Practice Address - Street 1:6325 SW 20TH ST
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-2159
Practice Address - Country:US
Practice Address - Phone:919-418-3947
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty