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Organization
MA HOME HEALTH LLC
Active
Organization
MA HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA VICTORIA FUSTER (PRESIDENT)
(305) 551-6531
Entity
Organization
Contact information
Practice address
2500 SW 107TH AVE, SUITE 29, MIAMI, FL 33165-2470
(305) 551-6531
(305) 551-6532
Mailing address
2500 SW 107TH AVE, SUITE 29, MIAMI, FL 33165-2470
(305) 551-6531
(305) 551-6532
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299993054
FL
332B00000X
Durable Medical Equipment & Medical Supplies
—
FL
Other
Enumeration date
10/17/2008
Last updated
10/29/2008
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