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Organization
WIDE HEALTH CARE CORPORATION
Active
Organization
WIDE HEALTH CARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE A TILLAN (PRESIDENT)
(305) 269-9808
Entity
Organization
Contact information
Practice address
7171 CORAL WAY STE 310, MIAMI, FL 33155-1694
(305) 269-9808
(306) 269-1649
Mailing address
7171 CORAL WAY STE 310, MIAMI, FL 33155-1694
(305) 269-9808
(306) 269-1649
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/20/2007
Last updated
10/28/2009
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