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Distinctive Home Care, Llc
Adult Care Home Facility in Ft Lauderdale, Florida
NPI 1861676157

Distinctive Home Care, Llc is an Adult Care Home Facility based in Palm Harbor, FL and is specialized in Adult Care Home. Distinctive Home Care, Llc practices in Ft Lauderdale, FL. The NPI Number for Distinctive Home Care, Llc is 1861676157 and holds a License No. 30211309 (Florida).

The current practice location address for Distinctive Home Care, Llc is 6460 Nw 5Th Way, Ft Lauderdale, FL and can be reached out via phone at 954-727-9142 and via fax at 954-727-2825.

Location: 6460 Nw 5Th Way, Ft Lauderdale, FL, 34684-2654
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861676157
Provider Name
Distinctive Home Care, Llc
Credential
Provider Entity Type
Organization
Address
6460 Nw 5Th Way, Ft Lauderdale, FL, 34684-2654
Phone Number
954-727-9142
Fax Number
954-727-2825
Provider Enumeration Date
12/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30211309 01 FL PRIVATE DUTY/NURSE REGIST
institution
Provider Business Practice Location Address Details
Address
6460 Nw 5Th Way
City
Ft Lauderdale
State
Florida
Zip
33309-6112
Phone Number
954-727-9142
Fax Number
954-727-2825
person
Provider Business Mailing Address Details
Address
6460 Nw 5Th Way
City
Ft Lauderdale
State
Florida
Zip
33309-6112
Phone Number
954-727-9142
Fax Number
954-727-2825
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
30211309 (Florida)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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