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Organization
SPIRIT HOME HEALTH CARE CORP
Active
Organization
SPIRIT HOME HEALTH CARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCISCO J BERNAL PEREZ RN (OWNER / ADMINISTRATOR)
(305) 227-2111
Entity
Organization
Contact information
Practice address
175 FONTAINEBLEAU BLVD, SUITE 2K7, MIAMI, FL 33172-7012
(305) 227-2111
(305) 227-2118
Mailing address
175 FONTAINEBLEAU BLVD, SUITE 2K7, MIAMI, FL 33172-7012
(305) 227-2111
(305) 227-2118
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CCN 10-9356
MEDICARE UNSPECIFIED
FL
Enumeration date
06/20/2008
Last updated
01/15/2010
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