Organization
ANNA VILLA HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNA PALMER (OWNER)
(786) 317-7227
Entity
Organization
Contact information
Practice address
921 NW 183RD DR, MIAMI, FL 33169-4263
(786) 317-7227
Mailing address
921 NW 183RD DR, MIAMI, FL 33169-4263
(786) 317-7227
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115322500
—
FL
Enumeration date
02/08/2023
Last updated
02/08/2023
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