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Organization
MEDIASSIST HOME HEALTH CARE SERVICES AGENCY CORPORATION
Active
Organization
MEDIASSIST HOME HEALTH CARE SERVICES AGENCY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY MULLALES (CEO)
(305) 971-7155
Entity
Organization
Contact information
Practice address
16235 SW 117TH AVE, UNIT 3, MIAMI, FL 33177-1644
(305) 971-5155
(305) 971-5156
Mailing address
16235 SW 117TH AVE, UNIT 3, MIAMI, FL 33177-1644
(305) 971-5155
(305) 971-5156
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
299991776
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D1101346
CLIA
FL
01
—
299991776
AHCA
FL
05
—
651004300
—
FL
Enumeration date
06/10/2006
Last updated
12/01/2014
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