| Home Sweet Home | |
|
5120 Sw 22nd St West Park FL 33023-3224 | |
| (954) 987-2293 | |
| (954) 964-5274 |
| Full Name | Home Sweet Home |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5120 Sw 22nd St, West Park, Florida |
| Authorized Official Name and Position | Brenda Davis (ADMINISTRATOR) |
| Authorized Official Contact | 9549872293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Sweet Home 5120 Sw 22nd St West Park FL 33023-3224 Ph: (954) 987-2293 | Home Sweet Home 5120 Sw 22nd St West Park FL 33023-3224 Ph: (954) 987-2293 |
| NPI Number | 1831357391 |
|---|---|
| Provider Enumeration Date | 05/30/2008 |
| Last Update Date | 05/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831357391 | NPI | - | NPPES |
| 671558396 | Medicaid | FL | |
| 671558398 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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