# WELLCARE HOME AGENCY, CORP.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225733348
- **Authorized official:** MRS. YUDITH FERNANDEZ (ADMINISTRATOR)
- **Authorized official phone:** (863) 257-5555

## Contact information

- **Practice address:** 11132 PEACHTREE DR, MIAMI, FL 33161-6850
- **Practice address phone:** (863) 257-5555
- **Mailing address:** PO BOX 530397, MIAMI, FL 33153-0397
- **Mailing address phone:** (863) 257-5555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/31/2023
- **Last updated:** 12/05/2023