OrganizationActive
All-State Home Care Inc.
NPI 1023173879 · Ph.D. Medical Genetics · Hollywood, FL
Provider details
- NPI number
- 1023173879
- Entity type
- Organization
- Primary specialty
- Ph.D. Medical GeneticsOther Service Providers
- Authorized official
- Roger Medenos, President
Practice location
6363 Taft St
Suite 104
Hollywood, FL 33024-5962
Phone: (954) 322-8809
Mailing address
6363 Taft St
Hollywood, FL 33024-5962
Registry dates
- Enumerated
- 2006-12-22
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.