PROVIDENCE HOME HEALTH AGENCY LLC
Agencies at Johnson St, Hollywood, FL

License number
Florida L11000029464
Category
Agencies
Type
Home Health
Owner
Name: RUBEN ESTABILLO
Title: CEO
Phone: (754) 400-8503
Address
Address
7763 Johnson St, Hollywood, FL 33024
National Provider ID: 1881992907
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PROVIDENCE HOME HEALTH AGENCY LLC at bizstanding.com

Providence Home Health Agency LLC

7763 Johnson St, Hollywood, FL 33024

Status:
Inactive
Industry:
Health and Allied Services, Nec, Nsk, Health/Allied Services
Doing business as:
Providence Home Health Agency
Registration:
Mar 10, 2011
Phone:
(754) 400-8503 (Phone)
State ID:
L11000029464
Business type:
Florida Limited Liability
Managing Member, Administration, Owners:
Ruben Estabillo Managing Member, inactive,Evelyn Reyes Manager, inactive,David Estabillo Managing Member, Administration, Owner, inactive
Categories:
Home Health Care

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