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Organization
VIDA HOME CARE INC
Active
Organization
VIDA HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAIKEL RODRIGUEZ (OWNER)
(305) 992-3629
Entity
Organization
Contact information
Practice address
9099 NW 113TH ST, HIALEAH GARDENS, FL 33018-4561
(305) 828-0395
Mailing address
9099 NW 113TH ST, HIALEAH GARDENS, FL 33018-4561
(305) 828-0395
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10335
FL
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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