Provider Demographics
NPI:1649495847
Name:VAL-DEX HOMEMAKER & COMPANION SVC.INC
Entity type:Organization
Organization Name:VAL-DEX HOMEMAKER & COMPANION SVC.INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEMAN-CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-748-8654
Mailing Address - Street 1:8320 NW 53RD ST
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33351-4914
Mailing Address - Country:US
Mailing Address - Phone:954-748-8654
Mailing Address - Fax:954-748-4188
Practice Address - Street 1:8320 NW 53RD ST
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33351-4914
Practice Address - Country:US
Practice Address - Phone:954-748-8654
Practice Address - Fax:954-748-4188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2009-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL228467251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL683260198Medicaid
FL683260196Medicaid