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Organization
MARIA AUXILIADORA
Active
Organization
MARIA AUXILIADORA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AUXILIADORA OJEDA (OWNER)
(786) 348-6058
Entity
Organization
Contact information
Practice address
31 SW 113TH AVE APT 105, MIAMI, FL 33174-1188
(786) 348-6058
Mailing address
31 SW 113TH AVE APT 105, MIAMI, FL 33174-1188
(786) 348-6058
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
CNA166035
FL
385H00000X
Respite Care
CNA166035
FL
Other
Enumeration date
05/13/2011
Last updated
05/13/2011
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