Provider Demographics
NPI:1386878163
Name:SPECIALIZED NURSING CARE, INC.
Entity type:Organization
Organization Name:SPECIALIZED NURSING CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DON
Authorized Official - Prefix:
Authorized Official - First Name:AIME
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-819-8154
Mailing Address - Street 1:2100 W 76TH ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5539
Mailing Address - Country:US
Mailing Address - Phone:305-819-8154
Mailing Address - Fax:305-819-8159
Practice Address - Street 1:2100 W 76TH ST
Practice Address - Street 2:SUITE 208
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5539
Practice Address - Country:US
Practice Address - Phone:305-819-8154
Practice Address - Fax:305-819-8159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-08
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health