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Organization
ST. SOPHIA NURSING CARE CORP.
Active
Organization
ST. SOPHIA NURSING CARE CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEYANIRA GUTIERREZ RN (ADMINISTRATOR/DON)
(305) 265-3239
Entity
Organization
Contact information
Practice address
702 SW 57TH AVE, MIAMI, FL 33144-3922
(305) 265-3239
(305) 265-3240
Mailing address
702 SW 57TH AVE, MIAMI, FL 33144-3922
(305) 265-3239
(305) 265-3240
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P0800086073
APPLYING FOR AHCA/MEDICARE
FL
Enumeration date
10/06/2008
Last updated
10/06/2008
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