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Organization
LIFE HOME HEALTHCARE CORP
Active
Organization
LIFE HOME HEALTHCARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OCTAVIO ANTONIO SORDO (CEO, PRESIDENT, CFO)
(305) 228-9555
Entity
Organization
Contact information
Practice address
12900 SW 128 STREET, SUITE 103, MIAMI, FL 33186-6274
(305) 253-2424
(305) 253-2435
Mailing address
12900 SW 128 STREET, SUITE 103, MIAMI, FL 33186-6274
(305) 253-2424
(305) 253-2435
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299992426
FL
251E00000X
Home Health Agency
299992426
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING MEDICARE#
PENDING MEDICARE#
FL
Enumeration date
04/01/2008
Last updated
10/04/2011
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