# ABA HOMECARE PROVIDERS, INC

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

## Provider details

- **NPI number:** 1770724205
- **Authorized official:** MR. WIRLEN ALEXANDER ANTIGUA RN (DIRECTOR OF NURSING/OWNER)
- **Authorized official phone:** (305) 710-3653

## Contact information

- **Practice address:** 3900 NW 79TH AVE, SUITE 446, DORAL, FL 33166-6556
- **Practice address phone:** (305) 594-2171
- **Practice address fax:** (305) 594-2172
- **Mailing address:** 3900 NW 79TH AVE, SUITE 446, DORAL, FL 33166-6556
- **Mailing address phone:** (305) 594-2171
- **Mailing address fax:** (305) 594-2172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | FL | Yes |

## Other

- **Enumeration date:** 03/12/2009
- **Last updated:** 01/25/2010